ABIGAIL VIVONETTO (PT, DPT) – Physical Therapist, NPI 1336869874

ABIGAIL VIVONETTO (PT, DPT) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT39285 (FL). The NPI Number for ABIGAIL VIVONETTO (PT, DPT) is 1336869874

Main info

Female
4 Years Of Experience
Name
ABIGAIL VIVONETTO (PT, DPT)
NPI
1336869874
Phone
(239) 337-2739
Address
15751 SAN CARLOS BLVD STE 4
Enumeration Date
2 September 2022
Last Update Date
2 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392633330
Graduation Year
2022 (4 years ago)
PAC ID
3971979063
Group Practice PAC ID
9436469194
Professional Enrollment ID
I20221013003696
Address ID
FL341055023NA13020RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,676 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ABIGAIL VIVONETTO (PT, DPT)

  • 15751 SAN CARLOS BLVD STE 4

    FORT MYERS, FL 339083315

    Phone: (239) 337-2739

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221013003696IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29723$0
97140Therapy procedure using manual technique, each 15 minutes5012$0
97162Evaluation for physical therapy, typically 30 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 33908)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436469194View full group profile
NameSpecialtyState
-SC
-FL
C H I R O P R A C T I CFL
C H I R O P R A C T I CFL
Nurse PractitionerFL
C H I R O P R A C T I CFL
Physical Medicine And RehabilitationFL
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up ABIGAIL VIVONETTO (PT, DPT) by NPI?
Use NPI 1336869874 when you need to reference ABIGAIL VIVONETTO (PT, DPT) in forms, claims, or directories.
Does this profile mean ABIGAIL VIVONETTO (PT, DPT) is currently active?
Yes — ABIGAIL VIVONETTO (PT, DPT) appears active in the national provider directory.
What field does ABIGAIL VIVONETTO (PT, DPT) work in?
You can think of ABIGAIL VIVONETTO (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for ABIGAIL VIVONETTO (PT, DPT)?
We surface Fort Myers, Florida for ABIGAIL VIVONETTO (PT, DPT) based on available NPPES addresses.
Is ABIGAIL VIVONETTO (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1336869874. Always confirm identity and privileges with the practice and licensing boards.

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