MEDICARE: CAROLINE JANET HUDSON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9993	SC
2	225100000X	Physical Therapist	2305214324	VA
3	225100000X	Physical Therapist	P19075	NC

General Provider Information

NPI Number	:	1174179956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE JANET HUDSON PT

Provider Business Mailing Address
First Line	:	PO BOX 392573
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9573
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 CARMICHAEL WAY STE 303
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-2185
Country	:	US
Telephone Number	:	757-908-2106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2019
Last Update Date	:	05/07/2025

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