Provider Demographics
NPI:1033086723
Name:TRAVERS, ABIGAIL NOEL (DPT)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:NOEL
Last Name:TRAVERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:ABBY
Other - Middle Name:NOEL
Other - Last Name:TRAVERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:1219 W ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153-4046
Mailing Address - Country:US
Mailing Address - Phone:708-216-5300
Mailing Address - Fax:
Practice Address - Street 1:1219 W ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-4046
Practice Address - Country:US
Practice Address - Phone:708-216-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.028596225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist