Ludim Pediatric Home Health

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LUDIM PEDIATRIC HOME HEALTH

Practice address

8701 W Parmer LN Apt 8327
Austin, TX 78729-4955

Phone

(512) 662-7498

Fax

(512) 793-8230

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Eghosasere Edegbe

Title

Owner

Phone

(512) 662-7498

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1811637762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 W PARMER LN APT 8327",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294955",
            "telephone_number": "512-662-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 W PARMER LN APT 8327",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294955",
            "telephone_number": "512-662-7498",
            "fax_number": "512-793-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDIM PEDIATRIC HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "EDEGBE",
        "authorized_official_first_name": "EGHOSASERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-662-7498"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg H Lucksinger, M.D.
• Lucky Queen Transportation LLC
• Lucy Transportation and Logistics
• Amanda Luddy, FNP-C
• Emma Ludemann
• Cameron Ludt, D.O.
• Gwendolyn Luecke
• Bryan Reid Luedecke, PHMNP-BC- MSN, RN
• Anna Luedtke, OTR
• Regina W Luepke, CRNA

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.