Judice Consulting LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2014027053 Issued in MO

Legal business name

JUDICE CONSULTING LLC

Practice address

700 Shallowcreek VW
Ballwin, MO 63021-6618

Phone

(225) 505-6659

NPI assigned

Jul 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Charles Judice, PT, DPTNPI 1578978797

Title

Owner/Physical Therapist

Phone

(225) 505-6659

Specialties & licenses 1

Addresses

Other names 1

• Judice Sports and Rehab Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Charles Judice, DPT

  • Physical Therapist
  • Chesterfield, MO
  • NPI 1578978797
  NPD Authorized official

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1629590955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHALLOWCREEK VW",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHALLOWCREEK VW",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216618",
            "telephone_number": "225-505-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDICE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "JUDICE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "225-505-6659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2014027053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Judice Sports and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Judice Sports and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shalece Nicole Johnson, PHARM. D.
• Ashleigh Jones, LPC
• Kelly N Jones, MD
• Reni Joseph, FNP
• Ching-Huey Juang
• Mazin Hazim Kamil, MD
• Riitka Kanapareddy
• Himavarsha Kancharla, MD
• Judith M Kaufman, COTAL
• Anna M Keaton, PHARM D

• Physical Therapy Clinic/Center in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.