Individual provider Active NPI

Abigail Yergensen, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1902487044
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4821 Issued in NV
Practice address
6590 S Rainbow Blvd Ste 230
Las Vegas, NV 89118-3329
Phone
(725) 726-7847
Fax
(725) 726-7876
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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 4821 NV Primary

Addresses

Primary practice location

6590 S Rainbow Blvd Ste 230
Las Vegas, NV 89118-3329

Mailing address

6590 S Rainbow Blvd Ste 230
Las Vegas, NV 89118-3329
Phone (725) 726-7847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822002662 NV Practitioner - Physical Therapist in Private Practice 9537561741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3688 Canis Minor LN
Unit 18101
Henderson, NV 89052-8801

4680 Polaris Ave
Suite 200
Las Vegas, NV 89103-5600

6590 S Rainbow Blvd
Suite 230
Las Vegas, NV 89118-3329

7 Clyde Rd
Somerset, NJ 08873-5049

PO Box
Suite 2350
Rocklin, CA 95677-8350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4821NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Pediatric Therapy LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Smith Therapy Partners Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
Fox Rehabilitation Services NV LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

10040 Alta Dr
Ste 230
Las Vegas, NV 89145
Phone (725) 726-7947

6590 S Rainbow Blvd
Ste 230
Las Vegas, NV 89118
Phone (702) 326-0528

9121 W Russell Rd
Ste 115
Las Vegas, NV 89148
Phone (702) 499-6638

4680 Polaris Ave
Ste 200
Las Vegas, NV 89103
Phone (702) 909-5900

1820 E Warm Springs Rd
Ste 130
Las Vegas, NV 89119

727 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-4900

200 S Virginia St
Fl 8
Reno, NV 89501
Phone (530) 536-6690

Organizations & group practices 3

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1902487044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6590 S RAINBOW BLVD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183329",
            "telephone_number": "725-726-7847",
            "fax_number": "725-726-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6590 S RAINBOW BLVD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183329",
            "telephone_number": "725-726-7847",
            "fax_number": "725-726-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERGENSEN",
        "first_name": "ABIGAIL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4821",
            "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 Jul 15, 2022; 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.