NPIMap

Individual provider Active NPI

Einat Shimoni Ogden

  • Physical Therapist
  • Carrollton, TX
National Provider Identifier
1447330832
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1143113 Issued in TX
Practice address
4780 N Josey LN
Carrollton, TX 75010-4615
Phone
(972) 395-2293
Fax
(972) 395-2294
NPI assigned
Oct 17, 2006
Last updated
Sep 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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 PT30406 CA
Physical Therapist 225100000X 1143113 TX Primary

Addresses

Primary practice location

4780 N Josey LN
Carrollton, TX 75010-4615

Mailing address

4780 N Josey LN
Carrollton, TX 75010-4615
Phone (972) 395-2293

Other identifiers 5

IdentifierTypeStateIssuer
854T72OtherTXBC/BS TX - EFFECT 02/01/2011
P00954360OtherTXRAILROAD MEDICARE
8L12833OtherTXMEDICARE PART B - PRIOR TO 2/1/11
ZZZ02708ZOtherCABLUE SHIELD
TXB121220OtherTXMEDICARE PART B - EFFECT 3/3/11

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
PT30406CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates Group Past Accepting new patients
South Bay Orthopaedic Specialists Medical Center a Medical Partnership PastSince Oct 1, 2001 Accepting new patients
Metrocrest Orthopaedics & Sports Medicine Past Accepting new patients
Torrance Health Association Inc Past Accepting new patients

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, 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1447330832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-395-2293",
            "fax_number": "972-395-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-395-2293",
            "fax_number": "972-395-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "EINAT",
        "middle_name": "SHIMONI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30406",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1143113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX - EFFECT 02/01/2011",
            "identifier": "854T72",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00954360",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B - PRIOR TO 2/1/11",
            "identifier": "8L12833",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ02708Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B - EFFECT 3/3/11",
            "identifier": "TXB121220",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.