Individual provider Active NPI

Bridgit Elise Neider, PTA

  • Physical Therapy Assistant
  • Estherville, IA
National Provider Identifier
1932377066
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
00868 Issued in IA
Practice address
1802 3Rd Ave N
Estherville, IA 51334-2082
Phone
(712) 209-3486
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 00868 IA Primary

Addresses

Primary practice location

1802 3Rd Ave N
Estherville, IA 51334-2082

Mailing address

1802 3Rd Ave N
Estherville, IA 51334-2082
Phone (712) 209-3486

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

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1932377066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 3RD AVE N",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342082",
            "telephone_number": "712-209-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 3RD AVE N",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342082",
            "telephone_number": "712-209-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDER",
        "first_name": "BRIDGIT",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estherville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.