Elizabeth Ann Foderaro, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT003468 Issued in TX

Practice address

28604 Interstate 10 W Unit 4
Boerne, TX 78006-9115

Phone

(830) 431-0773

Fax

(830) 265-4053

NPI assigned

Jul 25, 2019

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

Credentials

Medical Technician

State licenses

Practice roles

Locations

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.

• Monarch Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Boerne, TX
  • NPI 1740557651
  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1194379321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28604 INTERSTATE 10 W UNIT 4",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069115",
            "telephone_number": "830-431-0773",
            "fax_number": "830-265-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28604 INTERSTATE 10 W UNIT 4",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069115",
            "telephone_number": "830-431-0773",
            "fax_number": "830-265-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODERARO",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT003468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbie Flores
• Alfred Oliver Flores, DO
• Manuel R Flores, FNP
• Floyd Ridge Emergency Physicians PLLC
• Kamila Flynn, RN
• Laurie J Foley
• Gaius Forlu, ACSAH
• Melissa Ann Fornoff
• Corinne Forth, MS LMFT-ASSOCIATE
• Brian L Fowler, MD

• Massage Therapist in Boerne, TX
• Providers in Boerne, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.