Active NPI
Elizabeth Anne Judd, PT
- Physical Therapist
- Indpls, IN
National Provider Identifier
1073689329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002517A
- Practice address
- 7301 Georgetown Rd Suite 111
Indpls, IN 46268 - Phone
- (317) 875-3344
- Fax
- (317) 875-3350
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05002517A | IN | Primary |
Addresses
Primary practice location
7301 Georgetown Rd Suite 111
Indpls, IN 46268
Mailing address
4850 W Century Plaza Rd
Indianapolis, IN 46254
Phone (317) 216-2828
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002517A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073689329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 W CENTURY PLAZA RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46254",
"telephone_number": "317-216-2828",
"fax_number": "317-216-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 GEORGETOWN RD SUITE 111",
"city": "INDPLS",
"state": "IN",
"postal_code": "46268",
"telephone_number": "317-875-3344",
"fax_number": "317-875-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002517A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indpls, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.