Active NPI
Emily Ebner Hart, PT, DPT
- Physical Therapist
- Winter Haven, FL
National Provider Identifier
1043866619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34672
- Practice address
- 1601 6TH St SE Ste B
Winter Haven, FL 33880-4605 - Phone
- (863) 294-0350
- NPI assigned
- Aug 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34672 | FL | Primary |
Addresses
Primary practice location
1601 6TH St SE Ste B
Winter Haven, FL 33880-4605
Mailing address
1530 17TH St NW
Winter Haven, FL 33881-2314
Phone (615) 477-1771
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34672 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1043866619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 17TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338812314",
"telephone_number": "615-477-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 6TH ST SE STE B",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804605",
"telephone_number": "863-294-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "EMILY",
"middle_name": "EBNER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-09",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "34672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.