Individual provider Active NPI

Emily Jane Parks, PT, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1023602000
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36880 Issued in FL
Practice address
9051 Tamiami TRL N Ste 104
Naples, FL 34108-2520
Phone
(239) 591-4711
NPI assigned
Feb 22, 2021
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT36880 FL Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325001553 FL Practitioner - Physical Therapist in Private Practice 8628485364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 1951383702, 13 clinicians

Practice addresses (Care Compare)

4910 Tamiami TRL N
Suite 204
Naples, FL 34103-3066
Phone (239) 649-6699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayonne Physical Therapy Inc Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients
East Naples Rehabilitation Inc Current Accepting new patients
Pelican Sports & Rehabilitation of Naples Physical Therapist CurrentSince Mar 23, 2021 Accepting new patients
Pelican Sports and Rehabilitation, Inc Physical Therapist PastSince Mar 4, 2021 Accepting new patients
Bayonne Physical Therapy Inc Physical Therapist PastSince Jul 5, 2023 Accepting new patients

Locations

15205 Collier Blvd
Ste 108
Naples, FL 34119
Phone (239) 643-0222

4910 Tamiami Trl N
Ste 204
Naples, FL 34103
Phone (239) 530-0201

9051 Tamiami Trl N
Ste 104
Naples, FL 34108
Phone (239) 591-4711

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1023602000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 TAMIAMI TRL N STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082520",
            "telephone_number": "239-591-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 TAMIAMI TRL N STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082520",
            "telephone_number": "239-591-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.