Individual provider Active NPI

Elizabeth Ann Nudi, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1750301222
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5361 Issued in AZ
Practice address
17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053-2018
Phone
(602) 547-1836
Fax
(602) 467-8677
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5361 AZ Primary

Addresses

Primary practice location

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053-2018

Mailing address

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053-2018
Phone (602) 547-1836

Other identifiers 1

IdentifierTypeStateIssuer
885725MedicaidAZ

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
5361AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Strength Training Inc Physical Therapist PastSince Oct 1, 2001 Accepting new patients
Strength Training Inc Past 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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750301222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD",
            "address_2": "STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532018",
            "telephone_number": "602-547-1836",
            "fax_number": "602-467-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD",
            "address_2": "STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532018",
            "telephone_number": "602-547-1836",
            "fax_number": "602-467-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUDI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885725",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.