Active NPI
Elizabeth Ann Eaton
- Physical Therapy Assistant
- Kingman, AZ
National Provider Identifier
1740438431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 3131 Western Ave
Kingman, AZ 86401-0951 - Phone
- (928) 718-0718
- Fax
- (928) 718-1177
- NPI assigned
- Sep 5, 2008
- 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 Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
3131 Western Ave
Kingman, AZ 86401-0951
Mailing address
3131 Western Ave
Kingman, AZ 86401-0951
Phone (928) 718-0718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7796A | Other | AZ | ARIZONA LISCENCE # |
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
Interoperability endpoints
- elizabeth.eaton.p4@direct.caremorewest.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1740438431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 WESTERN AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864010951",
"telephone_number": "928-718-0718",
"fax_number": "928-718-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 WESTERN AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864010951",
"telephone_number": "928-718-0718",
"fax_number": "928-718-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA LISCENCE #",
"identifier": "7796A",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.