Elizabeth A Aldridge, PT
Individual provider Active NPI Physical Therapist · Byram, MS
NPI 1013276294 · NPPES record last updated May 9, 2012
Key facts
- NPI
- 1013276294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT2965 (MS)
- Practice address
- 7213 S Siwell Rd
Byram, MS 39272-9776 - Phone
- (601) 829-0505
- Fax
- (601) 829-0506
- NPI assigned
- May 9, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2965 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2965 | MS | Yes |
Addresses
Primary practice location
7213 S Siwell Rd
Byram, MS 39272-9776
Mailing address
1220 N Shore Pkwy
Suite B
Brandon, MS 39047-6383
Phone (601) 829-0505
NPI Registry JSON
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1013276294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 N SHORE PKWY",
"address_2": "SUITE B",
"city": "BRANDON",
"state": "MS",
"postal_code": "390476383",
"telephone_number": "601-829-0505",
"fax_number": "601-829-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7213 S SIWELL RD",
"city": "BYRAM",
"state": "MS",
"postal_code": "392729776",
"telephone_number": "601-829-0505",
"fax_number": "601-829-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDRIDGE",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT2965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Byram, MS
- A Natural Way
- A2 Legacy Care LLC
- Above All Transportation
- Advokare Case Management Solutions, LLC
- Amedisys Mississippi, LLC
- Anderson Consultings LLC
- April Daphne Anglin
- Robert Argo
- Baptist PT - Byram
All providers in Byram, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.