Active NPI
Judy Larose Foxworth, PT
- Orthopedic Physical Therapist
- Winston Salem, NC
National Provider Identifier
1366927659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT7611
- Practice address
- 601 S MLK Jr Drive F L Atkins BLDG RM 333
Winston Salem, NC 27110-0001 - Phone
- (336) 750-2197
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT7611 | NC | Primary |
Addresses
Primary practice location
601 S MLK Jr Drive F L Atkins BLDG RM 333
Winston Salem, NC 27110-0001
Mailing address
204 Ashley Trce
Elon, NC 27244-7409
Phone (336) 266-3100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7611 | NC | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1366927659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 ASHLEY TRCE",
"city": "ELON",
"state": "NC",
"postal_code": "272447409",
"telephone_number": "336-266-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S MLK JR DRIVE F L ATKINS BLDG RM 333",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271100001",
"telephone_number": "336-750-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOXWORTH",
"first_name": "JUDY",
"middle_name": "LAROSE",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "PT7611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.