Individual provider Active NPI

Edgar Ludgar, P.T.

  • Physical Therapist
  • Carrollton, TX
National Provider Identifier
1831291335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1086775 Issued in TX
Practice address
3720 N Josey LN
104
Carrollton, TX 75007-2481
Phone
(972) 394-7170
Fax
(972) 492-8065
NPI assigned
Sep 4, 2006
Sex
Male
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 1086775 TX Primary

Addresses

Primary practice location

3720 N Josey LN
104
Carrollton, TX 75007-2481

Mailing address

4041 Bramley Way
Plano, TX 75093-6802

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
1086775TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carrollton Physical Therapy Clinic, PC. Past Accepting new patients

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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831291335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 BRAMLEY WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 N JOSEY LN",
            "address_2": "104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072481",
            "telephone_number": "972-394-7170",
            "fax_number": "972-492-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDGAR",
        "first_name": "EDGAR",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1086775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

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.