Individual provider Active NPI

Abbey C Flanik, PT, DPT

  • Orthopedic Physical Therapist
  • Beavercreek, OH
National Provider Identifier
1861839904
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT.014289 Issued in OH
Practice address
2655 Commons Blvd
Suite 120
Beavercreek, OH 45431-3773
Phone
(937) 320-9131
Fax
(937) 320-9132
NPI assigned
May 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT.014289 OH Primary

Addresses

Primary practice location

2655 Commons Blvd
Suite 120
Beavercreek, OH 45431-3773

Mailing address

2655 Commons Blvd
Suite 120
Beavercreek, OH 45431-3773
Phone (937) 320-9131

Other names 1

  • Abbey C Soule Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.014289OHMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1861839904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 COMMONS BLVD",
            "address_2": "SUITE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313773",
            "telephone_number": "937-320-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 COMMONS BLVD",
            "address_2": "SUITE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313773",
            "telephone_number": "937-320-9131",
            "fax_number": "937-320-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANIK",
        "first_name": "ABBEY",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT.014289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "SOULE",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.