Individual provider Active NPI

Abigail Fitzgerald, DPT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1700041563
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2008016023 Issued in MO
Practice address
3215 Main St Ste 202
Kansas City, MO 64111-1946
Phone
(816) 472-1800
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2008016023 MO Primary

Addresses

Primary practice location

3215 Main St Ste 202
Kansas City, MO 64111-1946

Mailing address

3215 Main St Ste 202
Kansas City, MO 64111-1946
Phone (816) 472-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150327001436 MO Practitioner - Physical Therapist in Private Practice 8426375635 Reassigns benefits to 2 organizations
I20240529000349 KS Practitioner - Physical Therapist in Private Practice 8426375635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Range Mobile PT LLCGroup PAC ID 6406231448, 4 clinicians

Practice addresses (Care Compare)

Lake Winnebago, MO 64034
Phone (816) 600-0309

12452 S Gallery St
Olathe, KS 66062-6096
Phone (816) 600-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008016023MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Range Mobile PT, LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Orthopedic Health of Kansas City P.C. CurrentSince Jun 1, 2024 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

10900 W 86th St
Lenexa, KS 66214
Phone (816) 561-3003

2701 W Edgewood Dr
Ste 105
Jefferson City, MO 65109
Phone (573) 636-9104

1950 Diamond Pkwy
Ste 100
North Kansas City, MO 64116
Phone (816) 561-3003

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1700041563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 MAIN ST STE 202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111946",
            "telephone_number": "816-472-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 MAIN ST STE 202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111946",
            "telephone_number": "816-472-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "ABIGAIL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008016023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.