Active NPI
Abby L. Reverts, D.C.
- Chiropractor
- Madison, SD
National Provider Identifier
1811265895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1206
- Practice address
- 411 Southeast 10TH Street
Suite 101
Madison, SD 57042-3569 - Phone
- (605) 556-2002
- Fax
- (605) 556-2012
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1206 | SD | Primary |
Addresses
Primary practice location
411 Southeast 10TH Street
Suite 101
Madison, SD 57042-3569
Mailing address
411 Southeast 10TH Street
Suite 101
Madison, SD 57042-3569
Phone (605) 556-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120110000223 | SD | Practitioner - Chiropractic | 2466628698 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
411 SE 10TH St
Suite 101
Madison, SD 57042-3569
Phone (605) 556-2002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1206 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abby Reverts PC | Chiropractor | Current | Accepting new patients |
Locations
411 SE 10th St
Ste 101
Madison, SD 57042
Phone (605) 556-2002
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.
-
- Chiropractor
- Madison, SD
- NPI 1487922399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1811265895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SOUTHEAST 10TH STREET",
"address_2": "SUITE 101",
"city": "MADISON",
"state": "SD",
"postal_code": "570423569",
"telephone_number": "605-556-2002",
"fax_number": "605-556-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SOUTHEAST 10TH STREET",
"address_2": "SUITE 101",
"city": "MADISON",
"state": "SD",
"postal_code": "570423569",
"telephone_number": "605-556-2002",
"fax_number": "605-556-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVERTS",
"first_name": "ABBY",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.