Nicole Marie Judson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016192 Issued in MI

Practice address

5460 W Rolling Hills Dr
Bridgeport, MI 48722

Phone

(989) 272-4500

Fax

(989) 272-4501

NPI assigned

Mar 27, 2013

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Renue 001 Freeland LLC

  dba Renue Physical Therapy

  • Physical Therapy Clinic/Center
  • Freeland, MI
  • NPI 1922385707

  Physical Therapist

  Medicare reassignment NPD
• Renue 002 Bay City LLC

  • Physical Therapy Clinic/Center
  • Bay City, MI
  • NPI 1922379320

  Physical Therapist

  Medicare reassignment NPD
• Renue 004 Bridgeport, LLC

  dba Renue Physical Therapy

  • Physical Therapist
  • Bridgeport, MI
  • NPI 1952740466
  Medicare reassignment NPD
• Renue 006 Saginaw State St LLC

  • Physical Therapist
  • Saginaw, MI
  • NPI 1871835405
  Medicare reassignment NPD
• Renue 009 Midland LLC

  dba Renue Physical Therapy

  • Physical Therapy Clinic/Center
  • Midland, MI
  • NPI 1174963961

  Physical Therapist

  Medicare reassignment NPD
• Renue 018 Tawas, LLC

  • Physical Therapy Clinic/Center
  • Tawas City, MI
  • NPI 1790452043

  Physical Therapist

  Medicare reassignment NPD
• Beyond Rehabilitation PLLC

  • Physical Therapy Clinic/Center
  • Birch Run, MI
  • NPI 1265273247
  NPD Authorized official
• Renue 003 Saginaw LLC

  dba Renue Physical Therapy

  • Physical Therapist
  • Saginaw, MI
  • NPI 1578845285
  Medicare reassignment
• Renue 012 Essexville, LLC

  dba Renue Physical Therapy

  • Physical Therapist
  • Bay City, MI
  • NPI 1548740871
  Medicare reassignment
• Level Eleven Howell, LLC

  • Clinic/Center
  • Howell, MI
  • NPI 1376321174
  NPD
• Level Eleven Saginaw, LLC

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1164201679
  NPD
• Paramount Rehabilitation Services, PC

  • Physical Therapist
  • Bay City, MI
  • NPI 1699820258
  NPD (past)

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1497098594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N WATER ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085620",
            "telephone_number": "989-450-3341",
            "fax_number": "989-778-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 W ROLLING HILLS DR",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "48722",
            "telephone_number": "989-272-4500",
            "fax_number": "989-272-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6161 State St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "48603",
            "country_code": "US",
            "telephone_number": "989-790-3781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 State St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "48603",
            "country_code": "US",
            "telephone_number": "989-790-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDSON",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Ryan Jewell
• Monaeja Lashaey Joe
• Lori Jones, FNP-BC
• Tamia Jones
• Morgan Hope Ju
• Misty Rose Jura
• Kairos Healthcare Incorporated
• Kairos Healthcare Incorporated
• Nyah Lynn Rose Kelpinski
• Sreekant Kembhavi, BPHARM

• Physical Therapist in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.