Active NPI
Lizabeth L Reddy, DC
- Chiropractor
- Longwood, FL
National Provider Identifier
1013386556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11210
- Practice address
- 288 E Sr 434
Longwood, FL 32750-5274 - Phone
- (407) 736-9800
- Fax
- (407) 736-9898
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11210 | FL | Primary |
Addresses
Primary practice location
288 E Sr 434
Longwood, FL 32750-5274
Mailing address
288E State Road 434
Longwood, FL 32750-5274
Phone (407) 636-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11210 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1013386556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288E STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505274",
"telephone_number": "407-636-9800",
"fax_number": "407-636-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 E SR 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505274",
"telephone_number": "407-736-9800",
"fax_number": "407-736-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "LIZABETH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.