Individual provider Active NPI

Emily N Keeble Witwer, P.T.

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1043262710
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7049 Issued in AZ
Practice address
2414 N Trenton
Mesa, AZ 85207-2527
Phone
(480) 380-2810
Fax
(480) 380-2861
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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 7049 AZ Primary

Addresses

Primary practice location

2414 N Trenton
Mesa, AZ 85207-2527

Mailing address

956 S 21St St
Mesa, AZ 85204-4534
Phone (480) 380-2810

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

Practice roles

OrganizationSpecialtyStatusNew patients
JWG, Inc Physical Therapist PastSince Sep 6, 2016 Accepting new patients

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1043262710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 S 21ST ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852044534",
            "telephone_number": "480-380-2810",
            "fax_number": "480-380-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 N TRENTON",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072527",
            "telephone_number": "480-380-2810",
            "fax_number": "480-380-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITWER",
        "first_name": "EMILY",
        "middle_name": "N KEEBLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.