Active NPI
Elizabeth Price
- Physical Therapist
- Deforest, WI
National Provider Identifier
1700282944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12915-24
- Practice address
- 6902 Parkside Cir
De Forest, WI 53532-2560 - Phone
- (715) 212-6446
- NPI assigned
- Nov 17, 2014
- Last updated
- Nov 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12915-24 | WI | Primary |
Addresses
Primary practice location
6902 Parkside Cir
De Forest, WI 53532-2560
Mailing address
1330 O'Keeffe Ave
Apt 109
Sun Prairie, WI 53590
Phone (715) 212-6446
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12915-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1700282944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 O'KEEFFE AVE",
"address_2": "APT 109",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "53590",
"telephone_number": "715-212-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6902 PARKSIDE CIR",
"city": "DE FOREST",
"state": "WI",
"postal_code": "535322560",
"telephone_number": "715-212-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-17",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12915-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deforest, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.