Active NPI
Laura Scudder
- Physical Therapist
- Tyler, TX
National Provider Identifier
1447758883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1239935
- Practice address
- 930 S Baxter Ave
Tyler, TX 75701-2209 - Phone
- (936) 933-6843
- NPI assigned
- Jan 31, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1239935 | TX | Primary |
Addresses
Primary practice location
930 S Baxter Ave
Tyler, TX 75701-2209
Mailing address
7372 Standing Rock LN
Tyler, TX 75703-7395
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1239935 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1447758883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7372 STANDING ROCK LN",
"city": "TYLER",
"state": "TX",
"postal_code": "757037395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 S BAXTER AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012209",
"telephone_number": "936-933-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCUDDER",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1239935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
- John W Scroggins, MD
- John William Scroggins Jr., M.D.
- Kimberly Scroggins
- Kristen Nicole Scroggins, PA
- Kerry Scruggs, ANP
- Kevin P Scully, PAC
- Elizabeth Abigail Seabury, H.I.S.
- Glenda R Sealey, CRNA
- Betty Darlene Searcey
- Sears Tyler Methodist Retirement Corporation (Longleaf Meadows Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.