Corey Gordon Abbas, PT
NPI 1134777113ActiveIndividual· Physical Therapist· Big Stone City, SD
Physical Therapist (PT) with Park Nicollet Clinic, practicing in Big Stone City, South Dakota. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1134777113 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Sep 3, 2019 |
| Last updated in NPPES | Jun 9, 2022 |
| Certified by provider | Jun 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11636 | MN |
| Physical Therapist | 225100000X | LPT-32275 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
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