DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ABIGAIL JOHNSON DPT

MEDICARE: ABIGAIL JOHNSON DPT
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
1225100000XPhysical Therapist2024004733MO
2225100000XPhysical TherapistCP035656TVA

General Provider Information

NPI Number : 1467215947
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL JOHNSON DPT
Provider Business Mailing Address
First Line : 701 LIBERTY ST
Second Line :
City : SMITHVILLE
State : MO
Zip : 64089-9245
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1348 BASS PRO DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2461
Country : US
Telephone Number : 636-757-5075
Fax Number : 636-757-5076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2024
Last Update Date : 05/05/2026

Similar Medicare Providers

1780033969 — DANIEL SCRIBNER DPT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:
1457967622 — CANDACE CUNNINGHAM
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:
1306430905 — BRENDAN BRAUSE PT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:
1942895602 — AARON N BUETTNER DPT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:
1821723297 — STEVEN REIERSON DPT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:
1487457735 — ANNA MIKULICZ DPT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:

Directions to “ ABIGAIL JOHNSON DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.