Active NPI
Judith M Tommell, MPT
- Physical Therapist
- Palm Harbor, FL
National Provider Identifier
1043356629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19731
- Practice address
- 4168 Woodlands Pkwy
Suite a
Palm Harbor, FL 34685-3496 - Phone
- (727) 767-0700
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19731 | FL | Primary |
Addresses
Primary practice location
4168 Woodlands Pkwy
Suite a
Palm Harbor, FL 34685-3496
Mailing address
4168 Woodlands Pkwy
Suite a
Palm Harbor, FL 34685-3496
Phone (727) 767-0700
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 |
|---|---|---|---|
| 19731 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ekren Physical Therapy Services Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Clearwater, FL
- NPI 1609880012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1043356629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4168 WOODLANDS PKWY",
"address_2": "SUITE A",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346853496",
"telephone_number": "727-767-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4168 WOODLANDS PKWY",
"address_2": "SUITE A",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346853496",
"telephone_number": "727-767-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMMELL",
"first_name": "JUDITH",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "19731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.