Individual provider Active NPI

Elizabeth N. Boone, D.P.T.

  • Specialist
  • Mobile, AL
National Provider Identifier
1245284496
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PTH3967 Issued in AL
Practice address
4519 Cypress Business Park Dr
Mobile, AL 36619-9550
Phone
(251) 602-0745
Fax
(251) 602-8641
NPI assigned
May 20, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PTH3967 AL Primary

Addresses

Primary practice location

4519 Cypress Business Park Dr
Mobile, AL 36619-9550

Mailing address

4519 Cypress Business Park Dr
Mobile, AL 36619-9550
Phone (251) 602-0745

Other identifiers 1

IdentifierTypeStateIssuer
J486OtherALMEDICARE GROUP

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3967ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Fleming J.R. P.T., Inc. Specialist PastSince Feb 9, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1245284496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 CYPRESS BUSINESS PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199550",
            "telephone_number": "251-602-0745",
            "fax_number": "251-602-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 CYPRESS BUSINESS PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199550",
            "telephone_number": "251-602-0745",
            "fax_number": "251-602-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "ELIZABETH",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "PTH3967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "J486",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.