Individual provider Active NPI

Elizabeth Earl

  • Physical Therapist
  • Boerne, TX
National Provider Identifier
1790589604
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1406098 Issued in TX
Practice address
905 N Main St Ste 103
Boerne, TX 78006-1699
Phone
(830) 816-5333
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 1406098 TX Primary

Addresses

Primary practice location

905 N Main St Ste 103
Boerne, TX 78006-1699

Mailing address

905 N Main St Ste 103
Boerne, TX 78006-1699

Other names 1

  • Elizabeth Higdon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411002326 TX Practitioner - Physical Therapist in Private Practice 8628592557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Physical Therapy PLLCGroup PAC ID 0648428987, 10 clinicians

Practice addresses (Care Compare)

905 N Main St
Suite 103
Boerne, TX 78006-1699
Phone (830) 816-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1406098TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Physical Therapy, PLLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients

Locations

905 N Main St
Ste 103
Boerne, TX 78006
Phone (830) 816-5333

23127 W Interstate 10
Ste 203
San Antonio, TX 78257
Phone (210) 698-6332

Organizations & group practices 1

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": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1790589604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST STE 103",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST STE 103",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061699",
            "telephone_number": "830-816-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1406098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HIGDON",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.