Individual provider Active NPI

Abigail Kelling

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1770353799
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1551 N Walnut Ave Ste 47
New Braunfels, TX 78130-6045
Phone
(830) 358-1151
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 Primary

Addresses

Primary practice location

1551 N Walnut Ave Ste 47
New Braunfels, TX 78130-6045

Mailing address

1551 N Walnut Ave Ste 47
New Braunfels, TX 78130-6045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322003195 TX Practitioner - Physical Therapist in Private Practice 2860839024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mint Physical Therapy LLCGroup PAC ID 7618250952, 11 clinicians

Practice addresses (Care Compare)

1551 N Walnut Ave
Suite 47
New Braunfels, TX 78130-6045
Phone (830) 358-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mint Physical Therapy, LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients

Locations

1551 N Walnut Ave
#47
New Braunfels, TX 78130
Phone (830) 358-1151

1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130
Phone (830) 358-1151

Organizations & group practices 1

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": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1770353799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045",
            "telephone_number": "830-358-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLING",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.