Active NPI
Elizabeth N. Boone, D.P.T.
- Specialist
- Mobile, AL
National Provider Identifier
1245284496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTH3967
- 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, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J486 | Other | AL | MEDICARE 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3967 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Fleming J.R. P.T., Inc. | Specialist | Past | 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.
-
dba Fleming Rehab & Sports Medicine
- Specialist
- Mobile, AL
- NPI 1245313147
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.