KEVIN JAMES LUDWIG (NPI# 1104425859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104425859 |
Entity Type | Individual |
Full Name | KEVIN JAMES LUDWIG |
Practice Address |
18 Broad St Johnson City NY 13790-2198 |
Mailing Address |
416 Corey Ave Endwell NY 13760-3621 |
Practice Telephone | 6077987117 |
Enumeration Date | 2020-10-23 |
Last Update Date | 2020-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
010851 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982966255 | Kevin Harrington Ludwig | Dentist | 10211 Dupont Circle Dr W, Suite B, Fort Wayne, IN 46825-1622 | 2012-06-13 |
1568719607 | Kevin Ludwig | Counselor | 125 S 3rd St, Ames, IA 50010-7042 | 2012-08-08 |
1902054596 | Kevin G Ludwig | Veterinarian | 2430 W Main St, Millville, NJ 08332-5213 | 2008-09-08 |
1396903803 | Kevin Ludwig | Contractor | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-05-30 |
Street Address |
18 BROAD ST |
City | JOHNSON CITY |
State | NY |
Zip Code | 13790-2198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285738211 | April Renee Chidester | Speech-Language Pathologist | 18 Broad St, Johnson City, NY 13790-2106 | 2006-09-11 |
1083226674 | Tracy E Olevano | Behavioral Analyst | 18 Broad St, Johnson City, NY 13790-2198 | 2020-08-17 |
1780154831 | Alyssa Janes | Occupational Therapist | 18 Broad St, Johnson City, NY 13790 | 2018-12-03 |
1528577509 | Teresa Hiney | Speech-Language Pathologist | 18 Broad St, Johnson City, NY 13790-2106 | 2017-09-22 |
1134672884 | Molly Cutia | Health Educator | 18 Broad St, Johnson City, NY 13790-2106 | 2016-07-29 |
1417307406 | Tara Schmitt | Health Educator | 18 Broad St, Johnson City, NY 13790-2106 | 2016-06-21 |
1134528698 | Alexandra Lynn Borowski | Occupational Therapist | 18 Broad St, Johnson City, NY 13790-2106 | 2014-08-20 |
1326478025 | Briana Mueller | Occupational Therapist | 18 Broad St, Johnson City, NY 13790-2106 | 2013-11-15 |
1659611671 | Diana L Brewer | Speech-Language Pathologist | 18 Broad St, Johnson City, NY 13790-2106 | 2013-02-28 |
1447501457 | Ellyn Diane Green | Social Worker | 18 Broad St, Johnson City, NY 13790-2106 | 2012-10-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
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Taxonomy Code | 2081P0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pediatric Rehabilitation Medicine |
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801368402 | Marilyn Jones | Physical Medicine & Rehabilitation | 115a Mclean St, Ballston Spa, NY 12020-1833 | 2018-12-19 |
1114210150 | Julie Michelle Brandwein | Physical Medicine & Rehabilitation | 309 Lefferts Ave Apt 3, Brooklyn, NY 11225-4114 | 2011-05-24 |
1831402759 | Lisa Ann Kaufman | Physical Medicine & Rehabilitation | 15 Chester St, Ardsley, NY 10502-2518 | 2010-07-20 |
1447436837 | Saundra Nickens | Physical Medicine & Rehabilitation | 3101 Eastchester Rd, Bronx, NY 10469-3107 | 2008-01-15 |
1336299346 | Celeste Dolores Zaffuto | Physical Medicine & Rehabilitation | 1620 157th St, Whitestone, NY 11357-3237 | 2007-01-11 |
1649886615 | Elizabeth Colonna | Physical Medicine & Rehabilitation | 98 E 4th St, New York, NY 10003-9001 | 2020-09-16 |
1730712704 | Emma Fitzgerald Larwood | Physical Medicine & Rehabilitation | 2495 Main St Ste 234, Buffalo, NY 14214-2152 | 2020-02-19 |
1114486727 | Ds Park Slope Physical and Occupational Therapy | Physical Medicine & Rehabilitation | 37 8th Ave, Brooklyn, NY 11217-3901 | 2019-03-14 |
1902307184 | Pratyusha Nistala | Physical Medicine & Rehabilitation | 227 W 29th St Rm 3r, New York, NY 10001-5574 | 2018-02-23 |
1063826782 | Dara Jones | Physical Medicine & Rehabilitation | 525 East 68th St, Baker Pavilion, 16th Floor, New York, NY 10065 | 2014-06-20 |
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City | JOHNSON CITY |
Zip Code | 13790 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.