Individual provider Active NPI

Abigail Elise Liston

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1821967415
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6727 Issued in NV
Practice address
4730 Blue Diamond Rd Ste 150
Las Vegas, NV 89139-7660
Phone
(702) 909-6893
NPI assigned
Nov 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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 6727 NV Primary

Addresses

Primary practice location

4730 Blue Diamond Rd Ste 150
Las Vegas, NV 89139-7660

Mailing address

4730 Blue Diamond Rd Ste 150
Las Vegas, NV 89139-7660
Phone (702) 909-6893

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129002509 NV Practitioner - Physical Therapist in Private Practice 7911485123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Luna Care Physical Therapy LLCGroup PAC ID 6901280510, 7 clinicians

Practice addresses (Care Compare)

5940 S Rainbow Blvd
Las Vegas, NV 89118-2540
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6726NVMDCritical Care Medicine (Internal Medicine) Physician
6727NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 16, 2026 Accepting new patients
Anthem Physical Therapy, Inc. Physical Therapist PastSince Nov 18, 2025 Accepting new patients

Locations

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

Organizations & group practices 2

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": "1761955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1821967415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 BLUE DIAMOND RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397660",
            "telephone_number": "702-909-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 BLUE DIAMOND RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397660",
            "telephone_number": "702-909-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTON",
        "first_name": "ABIGAIL",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-01",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.