Emily Jane Parks, PT, DPT
Individual provider Active NPI Physical Therapist · Naples, FL
NPI 1023602000 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1023602000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT36880 (FL)
- Practice address
- 9051 Tamiami TRL N Ste 104
Naples, FL 34108-2520 - Phone
- (239) 591-4711
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayonne Physical Therapy Inc
Practice addresses (Care Compare)
4910 Tamiami TRL N
Suite 204
Naples, FL 34103-3066
Phone (239) 649-6699
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210325001553 | FL | Practitioner - Physical Therapist in Private Practice | 8628485364 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36880 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelican Sports & Rehabilitation of Naples | Physical Therapist | Current |
Accepting new patients |
| East Naples Rehabilitation Inc | Current | Accepting new patients | |
| Bayonne Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Bayonne Physical Therapy Inc | Physical Therapist | Past |
Accepting new patients |
| Pelican Sports and Rehabilitation, Inc | Physical Therapist | Past |
Accepting new patients |
Locations
4910 Tamiami Trl N
Ste 204
Naples, FL 34103
Phone (239) 352-9884
15205 Collier Blvd
Ste 108
Naples, FL 34119
Phone (239) 643-0222
9051 Tamiami Trl N
Ste 104
Naples, FL 34108
Phone (239) 591-4711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT36880 | FL | Yes |
Addresses
Primary practice location
9051 Tamiami TRL N Ste 104
Naples, FL 34108-2520
Mailing address
9051 Tamiami TRL N Ste 104
Naples, FL 34108-2520
Phone (239) 591-4711
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.