Active NPI
Emily Richard, DPT
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37810
- Practice address
- 3115 Ocean Front Walk
San Diego, CA 92109-8729 - Phone
- (858) 488-3597
- Fax
- (858) 746-4041
- NPI assigned
- Jun 7, 2011
- 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 Therapist | 225100000X | 37810 | CA | Primary |
Addresses
Primary practice location
3115 Ocean Front Walk
San Diego, CA 92109-8729
Mailing address
3639 Midway Dr Ste B286
San Diego, CA 92110-5254
Phone (858) 488-3597
Other names 1
- Emily Anne Schivley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6592 N Decatur Blvd
Suite 115
Las Vegas, NV 89131-1038
Phone (702) 396-4993
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Water and Sports Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Golan Integrated Physical Medicine | Current | Accepting new patients | |
| Golan Integrated Physical Medicine | Current | Accepting new patients | |
| Water and Sports Physical Therapy | Past | Accepting new patients |
Locations
3115 Ocean Front Walk
San Diego, CA 92109
Phone (619) 922-6161
501 W Broadway
San Diego, CA 92101
Phone (619) 237-9027
3639 Midway Dr
#B286
San Diego, CA 92110
3639 Midway Dr
Ste B286
San Diego, CA 92110
Phone (858) 724-1747
321 N Pecos Rd
Ste 200
Henderson, NV 89074
Phone (702) 263-4925
3841 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 577-5829
6592 N Decatur Blvd
Ste 115
Las Vegas, NV 89131
Phone (702) 396-4993
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Las Vegas, NV
- NPI 1497195580
-
- Physical Therapist
- San Diego, CA
- NPI 1699840934
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1316419260
-
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
- NPI 1588085625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1003100017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3639 MIDWAY DR STE B286",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105254",
"telephone_number": "858-488-3597",
"fax_number": "858-746-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 OCEAN FRONT WALK",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921098729",
"telephone_number": "858-488-3597",
"fax_number": "858-746-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "SCHIVLEY",
"middle_name": "ANNE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.