MEDICARE: ABIGAIL MARIE KROLL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT210002601	DC

General Provider Information

NPI Number	:	1033967138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL MARIE KROLL

Provider Business Mailing Address
First Line	:	1263 1ST ST SE UNIT PH24
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-4516
Country	:	US
Telephone Number	:	978-833-9952
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 IRVING ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2921
Country	:	US
Telephone Number	:	703-552-5996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2024
Last Update Date	:	02/25/2026

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