Elizabeth Ann Fitzgerald, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5238 Issued in OR

Practice address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Phone

(503) 783-2474

NPI assigned

Sep 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Katie Lyttle Physical Therapist PC

  • Physical Therapist
  • Portland, OR
  • NPI 1942632252
  NPD

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

{
    "created_epoch": "1188691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188691200000",
    "number": "1891989893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 NW 208TH TER",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066684",
            "telephone_number": "503-351-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "503-783-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-02",
        "last_updated": "2007-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Farr, RPH.,BS PHARM. MTMCP
• Stephen Fekete, D.P.M.
• Darien Stephen Fenn, PHD
• Cheryl D Ferreira, LCMHC
• Carlos Finnigan
• Daniel Fleury
• Rebecca Jewell Flowers, COTA/L
• Spencer Folkman, LMT
• Ranee Forrette
• Fortes Laboratories Inc

• Physical Therapist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.