Provider Demographics
NPI:1164311072
Name:ALBERTS, ABIGAIL E (DPT)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:E
Last Name:ALBERTS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W6445 CHERRYBARK CIR
Mailing Address - Street 2:
Mailing Address - City:MENASHA
Mailing Address - State:WI
Mailing Address - Zip Code:54952-8113
Mailing Address - Country:US
Mailing Address - Phone:920-574-0926
Mailing Address - Fax:
Practice Address - Street 1:2 LOVETON CIR
Practice Address - Street 2:
Practice Address - City:SPARKS GLENCOE
Practice Address - State:MD
Practice Address - Zip Code:21152-9273
Practice Address - Country:US
Practice Address - Phone:410-235-6882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCP045148T225100000X
WI1721124225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist