NPIMap

Individual provider Active NPI

Elizabeth J Budden, DPT, MOT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1679623581
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23262 Issued in FL
Practice address
2553 Wye Oak LN
Sarasota, FL 34232-4374
Phone
(941) 592-8886
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23262 FL Primary
Occupational Therapist 225X00000X OT12128 FL

Addresses

Primary practice location

2553 Wye Oak LN
Sarasota, FL 34232-4374

Mailing address

2553 Wye Oak LN
Sarasota, FL 34232-4374
Phone (941) 592-8886

Other identifiers 3

IdentifierTypeStateIssuer
891872400MedicaidFL
OT12128OtherFLSTATE LICENSE NUMBER
PT23262OtherFLSTATE PT LICENSE NUMBER

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

LicenseStateTypeSpecialty
OT12128FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Sarasota Physical Physical Therapist PastSince Jul 5, 2006 Accepting new patients
Total Therapy Solutions LLC Physical Therapist PastSince Jul 1, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1679623581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 WYE OAK LN",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342324374",
            "telephone_number": "941-592-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 WYE OAK LN",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342324374",
            "telephone_number": "941-592-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDEN",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "DPT, MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23262",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891872400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OT12128",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PT LICENSE NUMBER",
            "identifier": "PT23262",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.