Individual provider Active NPI

Kara Suzanne Eldridge, PT

  • Orthopedic Physical Therapist
  • Okemos, MI
National Provider Identifier
1447229273
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501012698 Issued in MI
Practice address
3536 Meridian Crossings
Suite 240
Okemos, MI 48864-4584
Phone
(517) 347-2495
Fax
(517) 347-3540
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501012698 MI Primary

Addresses

Primary practice location

3536 Meridian Crossings
Suite 240
Okemos, MI 48864-4584

Mailing address

3536 Meridian Crossings
Suite 240
Okemos, MI 48864-4584
Phone (517) 347-2495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060710000142 MI Practitioner - Physical Therapist in Private Practice 9537172739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

5668 Okemos Rd
Haslett, MI 48840-9539
Phone (517) 580-5676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501012698MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. Orthopedic Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Nov 29, 2023 Accepting new patients
Physiotherapy Associates Inc Orthopedic CurrentSince Nov 29, 2023 Accepting new patients
Center for Physical Rehabilitation and Therapy LP Orthopedic PastSince Dec 6, 2021 Accepting new patients

Locations

5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870

Organizations & group practices 4

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1447229273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS",
            "address_2": "SUITE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644584",
            "telephone_number": "517-347-2495",
            "fax_number": "517-347-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS",
            "address_2": "SUITE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644584",
            "telephone_number": "517-347-2495",
            "fax_number": "517-347-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "KARA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501012698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.