Johanna Dudli, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

790 E Market St Ste 290
West Chester, PA 19382-4891

Phone

(601) 696-3305

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Elite Therapy Solutions, LLC

  • Physical Therapist
  • West Chester, PA
  • NPI 1598346314
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1043975436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BRINTON DR",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193204674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E MARKET ST STE 290",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824891",
            "telephone_number": "601-696-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLI",
        "first_name": "JOHANNA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Drozdowski, P.A.
• Jocelyn Anne Drucis, LCSW
• Nicole Louise Drummond
• Gary Dubin, M.D.
• Paige Dudley
• Sandra Lynn Duemmler, PH.D.
• Kimberly Duetsch, MS, OTR/L
• Trisha Leigh Duffie, PT, ATC
• Lyn Meredith Dufresne, PT
• Tracey L. Dugan, LCSW

• Physical Therapist in West Chester, PA
• Providers in West Chester, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.