Carson Judkins

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045207 Issued in NY

Practice address

110 E 42ND St RM 1504
New York, NY 10017-8541

Phone

(212) 354-2622

Fax

(212) 354-2752

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Beyond Basics Physical TherapyGroup PAC ID 6507836731, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16096/brand/2/csg/1/fhir/r4

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.

• Beyond Basics Physical Therapy

  • Physical Therapist
  • New York, NY
  • NPI 1538238266
  Medicare reassignment Care Compare group NPD
• Physiologic Chiropractic & Physical Therapy, PLLC.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1225262785

  Physical Therapist

  Medicare reassignment NPD
• Physio Logic Medicine, P.C.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1013293588
  NPD

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1467098111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 FULTON ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 42ND ST RM 1504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178541",
            "telephone_number": "212-354-2622",
            "fax_number": "212-354-2752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Fulton St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015103",
            "country_code": "US",
            "telephone_number": "718-260-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "CARSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Hellman C/O Trager Kevy & Trager LLP
• Judith Hellman MD PLLC
• Judith Kleber
• Judith Morris de Celis MD PC
• Lia Louise Judka
• Benjamin Lapsley Judson, M.D.
• Kara Judson, M.D.
• Randy Judson, AU.D.
• Judy Ting Mandel, LCSW PLLC
• Kenneth W.M. Judy, DDS

• Physical Therapist in New York, NY
• Providers in New York, 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 Apr 6, 2021; 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.