Preston L Judd

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH11932 Issued in AL

Practice address

598 Main St E
Rainsville, AL 35986-4541

Phone

(236) 638-1150

Fax

(256) 639-1158

NPI assigned

Sep 19, 2024

Sex

Male

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 AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therasport IncGroup PAC ID 3577554914, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Therasport, Inc.

  • Physical Therapist
  • Rainsville, AL
  • NPI 1760662233
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1245067438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1966",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359861966",
            "telephone_number": "256-638-1150",
            "fax_number": "256-639-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 MAIN ST E",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864541",
            "telephone_number": "236-638-1150",
            "fax_number": "256-639-1158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Grand Ave. SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359672840",
            "country_code": "US",
            "telephone_number": "256-979-1150",
            "fax_number": "256-979-1157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "PRESTON",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hos Abc LLC
• Kimberly Pope Hughes, CRNP
• Independent Health Services
• Roger L Ingram, D.C.
• Roxana Anabel Jimenez, MSN, FNP-BC
• Victoriana Lopez Kelley, CPNP-PC
• Donna Darlene King, PHARMACIST
• Melissa Nicole Knight, MA, ALC
• Lydia Landis
• Amanda Brooke Lassetter-White, LMT NCMT

• Physical Therapist in Rainsville, AL
• Providers in Rainsville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.