Active NPI
Emily Marie Wogtech, DPT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1073808960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05011116A
- Practice address
- 1030 E County Line Rd
Suite A2
Indianapolis, IN 46227-2932 - Phone
- (317) 887-1121
- Fax
- (317) 887-1127
- NPI assigned
- Jun 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26482 | FL | |
| Physical Therapist | 225100000X | 05011116A | IN | Primary |
Addresses
Primary practice location
1030 E County Line Rd
Suite A2
Indianapolis, IN 46227-2932
Mailing address
1030 E County Line Rd
Suite A2
Indianapolis, IN 46227-2932
Phone (317) 887-1121
Other names 1
- Emily Marie Hall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3316 E Market St
Logansport, IN 46947-2296
Phone (574) 601-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26482 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | Accepting new patients | |
| Select Medical Rehabilitation Clinics Inc | Past | Accepting new patients |
Locations
1030 E County Line Rd
Ste A2
Indianapolis, IN 46227
Phone (317) 887-1121
3316 E Market St
Logansport, IN 46947
Phone (574) 601-3100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Monticello, IN
- NPI 1356971295
-
- Rehabilitation Clinic/Center
- Logansport, IN
- NPI 1245860196
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
- Rehabilitation Clinic/Center
- Portage, IN
- NPI 1225033202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1073808960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 E COUNTY LINE RD",
"address_2": "SUITE A2",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272932",
"telephone_number": "317-887-1121",
"fax_number": "317-887-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 E COUNTY LINE RD",
"address_2": "SUITE A2",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272932",
"telephone_number": "317-887-1121",
"fax_number": "317-887-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOGTECH",
"first_name": "EMILY",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-18",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT26482",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011116A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "HALL",
"middle_name": "MARIE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.