Elizabeth Ann Bloodgood, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH2838 Issued in AL

Practice address

30A Samford Ave # B
Opelika, AL 36801-3118

Phone

(334) 742-9266

NPI assigned

Dec 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942378245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 GREEN RIDGE RD",
            "city": "CATAULA",
            "state": "GA",
            "postal_code": "318043213",
            "telephone_number": "707-327-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30A SAMFORD AVE # B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368013118",
            "telephone_number": "334-742-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOODGOOD",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2838",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Todd Blackmon, FNP
• Jonathan Taylor Blackmon, DO
• Ashley Blair, CRNP
• Corey Blair, CRNA
• Mark M Blair, CRNA
• Meredith Strickland Blythe, FNP-BC
• William R Blythe, M.D.
• Patrinia D Bolden-Smith, MSW
• William Forrest Bonner, CRNP
• Brandon Booth

• Physical Therapist in Opelika, AL
• Providers in Opelika, AL by specialty
• Physical Therapist in Alabama

• 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.