Jenna Abbuhl, PT, DPT
Individual provider Active NPI Physical Therapist · Hutto, TX
NPI 1679339188 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1679339188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT020915 (OH)
- Practice address
- 567 Chris Kelley Blvd
Hutto, TX 78634-2085 - Phone
- (512) 846-6550
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Professional Physical Therapy and Sports Medicine, LLC
Practice addresses (Care Compare)
10550 Harbor Hill Dr
Gig Harbor, WA 98332-8944
Phone (253) 530-8970
620 Old W Central St
Franklin, MA 02038-2912
Phone (508) 528-6100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240701003352 | WA | Practitioner - Physical Therapist in Private Practice | 9830633890 | Reassigns benefits to 1 organization |
| I20250714001879 | MA | Practitioner - Physical Therapist in Private Practice | 9830633890 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT020915 | OH | MD | Physical Therapist |
| CP028248T | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Professional Physical Therapy & Sports Medicine, LLC | Physical Therapist | Current |
Accepting new patients |
| Multicare Health System | Physical Therapist | Current |
Accepting new patients |
| Multicare Health System | Current |
Accepting new patients |
Locations
340 E Central St
#104
Franklin, MA 02038
Phone (508) 528-6100
620 Old West Central St
Franklin, MA 02038
Phone (508) 528-6100
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
10550 Harbor Hill Dr
Gig Harbor, WA 98332
Phone (253) 530-8970
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP028248T | TX | |
| Physical Therapist | 225100000X | PT020915 | OH | Yes |
Addresses
Primary practice location
567 Chris Kelley Blvd
Hutto, TX 78634-2085
Mailing address
567 Chris Kelley Blvd
Hutto, TX 78634-2085
Other providers in Hutto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.