Simone E Eudovic, P. T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025616 Issued in NY

Practice address

859A E 230TH St
Bronx, NY 10466-4416

Phone

(718) 213-2615

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New York Physical and Occupational Therapy Services, PLLC

  dba New York Therapy And Wellness

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631
  Medicare reassignment NPD
• Creative Therapeutic Solutions

  • Early Intervention Provider Agency
  • Bronx, NY
  • NPI 1972158921

  Physical Therapist

  NPD Authorized official
• Simone Eudovic

  • Physical Therapy Clinic/Center
  • Hastings on Hudson, NY
  • NPI 1164692521

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1447432877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859A E 230TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664416",
            "telephone_number": "718-213-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859A E 230TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664416",
            "telephone_number": "718-213-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUDOVIC",
        "first_name": "SIMONE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "P. T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "025616",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "025616",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "025616",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Arthur Ettenger, MD
• Hugh Marshall Ettlinger, D.O.
• Ebere Etufugh-Nwankpa
• Eno Roseline Etukudo
• Travis Etwaroo, PA-C
• Alexa Nicole Eugene
• Euromedical Urgent Care
• Tanairi Eusebio Cruz
• Lilia A Evangelista, M.D.
• Ma. Carla Angela H Evangelista, M.D.

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.