Individual provider Active NPI

Marie Angeline Escalona Hudson, PT

  • Physical Therapist
  • Aurora, IL
National Provider Identifier
1891042065
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070016403 Issued in IL
Practice address
1325 N Highland Ave
Provana Mercy Medical Center
Aurora, IL 60506-1449
Phone
(630) 907-0263
Fax
(630) 907-1354
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 070016403 IL Primary

Addresses

Primary practice location

1325 N Highland Ave
Provana Mercy Medical Center
Aurora, IL 60506-1449

Mailing address

1325 N Highland Ave
Provana Mercy Medical Center
Aurora, IL 60506-1449
Phone (630) 907-0263

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
070016403ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Onr National Speech Pathology Inc Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Emory Physical Therapy, LLC CurrentSince Feb 21, 2022 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Feb 21, 2022 Accepting new patients

Locations

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 5

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1891042065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N HIGHLAND AVE",
            "address_2": "PROVANA MERCY MEDICAL CENTER",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061449",
            "telephone_number": "630-907-0263",
            "fax_number": "630-907-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N HIGHLAND AVE",
            "address_2": "PROVANA MERCY MEDICAL CENTER",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061449",
            "telephone_number": "630-907-0263",
            "fax_number": "630-907-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MARIE ANGELINE",
        "middle_name": "ESCALONA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.