Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey Gordon Abbas, PT

Individual provider Physical Therapist · NPI 1134777113

Corey Gordon Abbas, PT is a Physical Therapist in Private Practice in Big Stone City, South Dakota. Qualified in 2019, 7 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Arizona and Minnesota.

Years since qualifying
7
Licensed in
AZ, MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

500 Cross St
Big Stone City, SD 57216-8237
Phone: (605) 541-1140
Fax: (605) 541-0109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11636 (MN)
Physical Therapist Taxonomy 225100000X · Licence LPT-32275 (AZ)

Record details

NPI number1134777113
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 3, 2019
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022
Mailing address500 Cross St, Big Stone City, SD 57216-8237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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