Individual provider Active NPI

Emily K Bartels, DPT

  • Physical Therapist
  • Bonita Springs, FL
National Provider Identifier
1043475106
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24187 Issued in FL
Practice address
24820 Burnt Pine Dr
Suite 4
Bonita Springs, FL 34134-2028
Phone
(239) 947-4184
Fax
(239) 947-4171
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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 PT24187 FL Primary

Addresses

Primary practice location

24820 Burnt Pine Dr
Suite 4
Bonita Springs, FL 34134-2028

Mailing address

24820 Burnt Pine Dr
Suite 4
Bonita Springs, FL 34134-2028
Phone (239) 947-4184

Other names 1

  • Emily K Caruso Former name

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

State licenses

LicenseStateTypeSpecialty
PT24187FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglass Orthopedic & Spine Rehabilitation, Inc. Physical Therapist PastSince Jul 1, 2001 Accepting new patients
Fyzbiz, LLC Physical Therapist PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1043475106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24820 BURNT PINE DR",
            "address_2": "SUITE 4",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341342028",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24820 BURNT PINE DR",
            "address_2": "SUITE 4",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341342028",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELS",
        "first_name": "EMILY",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "CARUSO",
            "middle_name": "K",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.