Individual provider Active NPI

Emily May Varee, DPT

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1003169590
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2621 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604
Phone
(310) 374-0477
Fax
(310) 374-1605
NPI assigned
Oct 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT39904 CA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2621 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604

Mailing address

2621 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604
Phone (310) 374-0477

Other names 1

  • Emily May Van Vranken Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140421001318 CA Practitioner - Physical Therapist in Private Practice 7214169598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PhysioworksGroup PAC ID 4587670633, 5 clinicians

Practice addresses (Care Compare)

2621 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604
Phone (310) 374-0477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39904CAMDMarriage & Family Therapist
PT39904CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physioworks Physical Therapist CurrentSince Apr 1, 2014 Accepting new patients

Locations

604 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 374-0477

2621 Manhattan Beach Blvd
Redondo Beach, CA 90278
Phone (310) 374-0477

Organizations & group practices 1

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": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1003169590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 MANHATTAN BEACH BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781604",
            "telephone_number": "310-374-0477",
            "fax_number": "310-374-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 MANHATTAN BEACH BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781604",
            "telephone_number": "310-374-0477",
            "fax_number": "310-374-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAREE",
        "first_name": "EMILY",
        "middle_name": "MAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39904",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "VAN VRANKEN",
            "middle_name": "MAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.

Verify at the official NPI Registry.