Individual provider Active NPI

Ian Douglas Emerick, DPT

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1033849229
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15600 NE 8TH St Ste E6
Bellevue, WA 98008-4087
Phone
(425) 214-7679
Fax
(425) 201-0985
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11274 SC
Physical Therapist 225100000X AZ
Physical Therapist 225100000X 1393345 TX
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

15600 NE 8TH St Ste E6
Bellevue, WA 98008-4087

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

5129 N Garland Ave Ste 600
Garland, TX 75040-2741
Phone (469) 838-4072

Other practice location 2

11209 N Tatum Blvd Ste B-120
Phoenix, AZ 85028-3091
Phone (602) 313-4642

Other practice location 3

2650 Saint Matthews Rd
Orangeburg, SC 29118-1344
Phone (803) 536-5509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ, TX, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220628000020 SC Practitioner - Physical Therapist in Private Practice 9032598636 Reassigns benefits to 1 organization
I20231009001115 AZ Practitioner - Physical Therapist in Private Practice 9032598636 Reassigns benefits to 1 organization
I20240621002938 TX Practitioner - Physical Therapist in Private Practice 9032598636 Reassigns benefits to 1 organization
I20250407000943 WA Practitioner - Physical Therapist in Private Practice 9032598636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

15600 NE 8 St
E6
Bellevue, WA 98008-3927
Phone (425) 214-7679

18561 N 59TH Ave
Suite 117
Glendale, AZ 85308-1256
Phone (623) 322-0654

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Jun 6, 2022 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 10, 2024 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Ideal Rehabilitation LLC PastSince Aug 1, 2024 Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

20320 N John Wayne Pkwy
Ste 120
Maricopa, AZ 85139
Phone (520) 635-2260

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

9160 E Shea Blvd
Ste 205
Scottsdale, AZ 85260
Phone (602) 313-5371

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

124 Broadway
Ste A
Saugus, MA 01906
Phone (781) 813-5002

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2650 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-5509

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

5129 N Garland Ave
Ste 600
Garland, TX 75040
Phone (469) 838-4072

15600 NE 8th St
Ste E6
Bellevue, WA 98008
Phone (425) 214-7679

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 9

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1033849229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NE 8TH ST STE E6",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084087",
            "telephone_number": "425-214-7679",
            "fax_number": "425-201-0985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5129 N Garland Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750402741",
            "country_code": "US",
            "telephone_number": "469-838-4072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11209 N Tatum Blvd Ste B-120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850283091",
            "country_code": "US",
            "telephone_number": "602-313-4642",
            "fax_number": "602-795-8447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291181344",
            "country_code": "US",
            "telephone_number": "803-536-5509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERICK",
        "first_name": "IAN",
        "middle_name": "DOUGLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11274",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1393345",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.