Individual provider Active NPI

Emily Callanan, DPT

  • Physical Therapist
  • Attleboro, MA
National Provider Identifier
1043813587
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25282 Issued in MA
Practice address
1395 Commerce Way Ste 112
Attleboro, MA 02703-4695
Phone
(508) 455-5740
Fax
(508) 455-5945
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 25282 MA Primary

Addresses

Primary practice location

1395 Commerce Way Ste 112
Attleboro, MA 02703-4695

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172

Other names 1

  • Emily Campagna Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215000971 MA Practitioner - Physical Therapist in Private Practice 4486066503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
79.21
Improvement activities
40
Cost
74.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25282MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Nov 3, 2020 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Nov 3, 2020 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Sep 4, 2024 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

101 Arch St
Fl 8
Boston, MA 02110
Phone (212) 287-4257

4 Richmond Sq
Ste 200
Providence, RI 02906

Organizations & group practices 3

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1043813587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 COMMERCE WAY STE 112",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034695",
            "telephone_number": "508-455-5740",
            "fax_number": "508-455-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLANAN",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "CAMPAGNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.