Laurie R Dudley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

560019 Issued in WI

Practice address

950 N 35TH St FL 2
Milwaukee, WI 53208-3318

Phone

(414) 342-0208

Fax

(414) 342-0208

NPI assigned

Nov 20, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1164991113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N 35TH ST FL 2",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083318",
            "telephone_number": "414-342-0208",
            "fax_number": "414-342-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N 35TH ST FL 2",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083318",
            "telephone_number": "414-342-0208",
            "fax_number": "414-342-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "LAURIE",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "560019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Duda
• Mackenzie Taylor Dudek
• Molly Burke Dudek, PTA
• Dudley & Turner Home Health Solutions Inc.
• Karan Elaine Dudley, LPN
• Lisa E. Dudzinske, C.O.T.A.
• David K. Dueker, M.D.
• Sofia Marie Dueno, MD
• Jennifer Keri Duerr, RN BSN CPN
• Abigail Duerst

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.