Kayla W Emmett, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012342 Issued in GA

Practice address

1515 River PL
Braselton, GA 30517-5602

Phone

(770) 848-6160

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Evans Rehabilitation Services, LLC

  • Physical Therapist
  • Evans, GA
  • NPI 1093715773
  NPD (past)
• Pediatric Orthopedic Associates

  • Pediatric Radiology Physician
  • Salt Lake City, UT
  • NPI 1659488799
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1043669575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RIVER PL",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175602",
            "telephone_number": "770-848-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RIVER PL",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175602",
            "telephone_number": "770-848-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMETT",
        "first_name": "KAYLA",
        "middle_name": "W",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "13836979",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Eberhart, AGACNP
• Thomas Ellington
• Amberly Ellis, LPC
• Shannon M Ellis, PTA
• Elizabeth Smith Elmadolar, FNP-BC
• Gemma P English, DPM
• Ifeoma Ezeh Omoregie, PA-C
• Erum Farooqi, M.D.
• Carla Louise Fedigan, RN, MSN, WHNP-BC
• Lucy Anne Fischer

• Physical Therapist in Braselton, GA
• Providers in Braselton, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.