Individual provider Active NPI

Emmy Gardner Isbell

  • Pediatric Physical Therapist
  • Hertford, NC
National Provider Identifier
1003139098
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
3498 Issued in NC
Practice address
120 Dockery Dr
Hertford, NC 27944-8274
Phone
(252) 264-4301
NPI assigned
Mar 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 3498 NC Primary

Addresses

Primary practice location

120 Dockery Dr
Hertford, NC 27944-8274

Mailing address

120 Dockery Dr
Hertford, NC 27944-8274
Phone (252) 264-4301

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3498NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Rehabilitation Inc Past Accepting new patients
Coastal Rehabilitation Inc PastSince Aug 15, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1003139098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DOCKERY DR",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279448274",
            "telephone_number": "252-264-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DOCKERY DR",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279448274",
            "telephone_number": "252-264-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISBELL",
        "first_name": "EMMY",
        "middle_name": "GARDNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "3498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hertford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.