ABIGAIL SIMONE DPT
NPI 1063129468
Physical Therapist in Royal Oak, MI
NPI Status: Active since November 04, 2022
Contact Information
32934 WOODWARD AVE
ROYAL OAK, MI
ZIP 48073
Phone: (248) 554-9201
Fax: (248) 554-9202
- Individual
- Female
- Years of Experience 4
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About ABIGAIL SIMONE
This page provides the complete NPI Profile along with additional information for Abigail Simone, a provider established in Royal Oak, Michigan with a medical specialization in Physical Therapist and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1063129468 assigned on November 2022. The practitioner's primary taxonomy code is 225100000X with license number 5501301967 (MI). The provider is registered as an individual and her NPI record was last updated February 2025.
- NPI
- 1063129468
- Provider Name
- ABIGAIL SIMONE DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 32934 WOODWARD AVE ROYAL OAK, MI 48073
- Location Phone
- (248) 554-9201
- Location Fax
- (248) 554-9202
- Mailing Address
- 33900 HARPER AVE STE 104 CLINTON TWP, MI 48035
- Mailing Phone
- (586) 350-2644
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-04-2022
- Last Update Date
- 02-27-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 5501301967
- License State
- MI
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Abigail Simone is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 4587032545
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221122002537
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for ABIGAIL SIMONE DPT
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 1 | 2 | 9 | 4 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 2 | 2 | 18 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 2 + 2 + 1 + 8 + 4 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1063129468 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336774058 | THOMAS WILCZEWSKI Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1598132219 | ANTHONY GAMM PT Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1801478656 | JANELA CASTILLO PT Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1619545720 | LAUREN MICHON PT, DPT Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1750747267 | RACHEL EVE Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1265118905 | MATTHEW WAINEO DPT Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1881026813 | CRISTINA A GIAMPUZZI DPT, OMPT Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1518798313 | AMANDA JAHSHAN PT Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1720311962 | KELLY RIESTERER GROTH Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1194486852 | BRIAN COATS Individual | Physical Therapy Assistant | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
| 1407320203 | NATE BREMER PT, DPT Individual | Physical Therapist | 32934 WOODWARD AVE ROYAL OAK, MI 48073 (248) 554-9201 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063129468, enumerated in the NPI registry as an "individual" on November 04, 2022
The provider is located at 32934 Woodward Ave Royal Oak, Mi 48073 and the phone number is (248) 554-9201
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 4 years of experience.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 04, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.