Individual provider Active NPI

Allison Bell Eudy, PT

  • Physical Therapist
  • Indian Trail, NC
National Provider Identifier
1356722607
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7785 Issued in SC
Practice address
1001 Van Buren Ave Ste 3
Indian Trail, NC 28079-5541
Phone
(704) 628-6053
Fax
(704) 628-6702
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0003339 DE
Physical Therapist 225100000X 7785 SC Primary

Addresses

Primary practice location

1001 Van Buren Ave Ste 3
Indian Trail, NC 28079-5541

Mailing address

1001 Van Buren Ave Ste 3
Indian Trail, NC 28079-5541
Phone (704) 628-6053

Other practice location 1

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4700

Other practice location 2

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4700

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
J1-0003339DEMDPhysical Therapist
7785SCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1356722607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 VAN BUREN AVE STE 3",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795541",
            "telephone_number": "704-628-6053",
            "fax_number": "704-628-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VAN BUREN AVE STE 3",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795541",
            "telephone_number": "704-628-6053",
            "fax_number": "704-628-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 S Suber Rd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296500944",
            "country_code": "US",
            "telephone_number": "864-989-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 S Suber Rd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296500944",
            "country_code": "US",
            "telephone_number": "864-989-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUDY",
        "first_name": "ALLISON",
        "middle_name": "BELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003339",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.