Active NPI
Elizabeth Reedy
- Physical Therapy Assistant
- Beaumont, TX
National Provider Identifier
1912103763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2062118
- Practice address
- 3395 Plaza 10 Dr
Beaumont, TX 77707-2556 - Phone
- (210) 215-4961
- NPI assigned
- Jun 26, 2007
- Last updated
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2062118 | TX | Primary |
Addresses
Primary practice location
3395 Plaza 10 Dr
Beaumont, TX 77707-2556
Mailing address
206 N 19TH St
Gatesville, TX 76528-1736
Phone (210) 215-4961
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2062118 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1912103763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N 19TH ST",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765281736",
"telephone_number": "210-215-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3395 PLAZA 10 DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072556",
"telephone_number": "210-215-4961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDY",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2062118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
- Megan Rebollar, LVN
- Recovery Council of Southeast Texas
- Redds Ambulance Service Inc (Redd's Ambulance Service)
- Keshava Cheruku Reddy
- Raghurami B Reddy, PT
- Chelsea Reese, PA-C
- Reeti K Joshi, MD PA (Advanced Rheumatology Associates)
- Rehab and Physical Therapy Specialists of BMT (Williams West End Rehab)
- John Charles Reimers, D.D.S.
- Laurie Kitchens Reimers, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.