Elizabeth Hall Edmiston, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1115673 Issued in TX

Practice address

113 NE Johnson Ave
Suite 100
Burleson, TX 76028-4124

Phone

(817) 447-2323

Fax

(817) 447-3311

NPI assigned

Aug 15, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theraworks IncGroup PAC ID 9133039647, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theraworks Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Pearland, TX
  • NPI 1861531451

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Theraworks Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Kingwood, TX
  • NPI 1245273473

  Physical Therapist

  NPD
• Cooper & Bush Physical Therapy LLC

  • Physical Therapist
  • Benbrook, TX
  • NPI 1841220068
  NPD (past)
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1467444612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NE JOHNSON AVE",
            "address_2": "SUITE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284138",
            "telephone_number": "817-447-2323",
            "fax_number": "817-447-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NE JOHNSON AVE",
            "address_2": "SUITE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284124",
            "telephone_number": "817-447-2323",
            "fax_number": "817-447-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTON",
        "first_name": "ELIZABETH",
        "middle_name": "HALL",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1115673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "8T4767",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036770801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla N Eaton, LPC
• Ebd Bemc Burleson, LLC (Baylor Scott & White Emergency Hospital Burleson)
• Michael E Ebong
• Rebecca Eckstrom
• Belinda Eder
• Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
• Mark Craig Eissler, D.D.S.
• Kofoworola Ekadi, M.D.
• Mai El Sayed Abdel Gawwad
• Kishore Elaprolu, MD

• Physical Therapist in Burleson, TX
• Providers in Burleson, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.