Active NPI
Emily Walker Hyde
- Physical Therapy Assistant
- Jacksonville, FL
National Provider Identifier
1083087753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 010076-1
- Practice address
- 3019 Sydney St Apt 4
Jacksonville, FL 32205-7982 - Phone
- (904) 483-8206
- NPI assigned
- Nov 3, 2015
- 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 Therapy Assistant | 225200000X | 010076-1 | NY | Primary |
| Physical Therapy Assistant | 225200000X | 25567 | FL |
Addresses
Primary practice location
3019 Sydney St Apt 4
Jacksonville, FL 32205-7982
Mailing address
3019 Sydney St Apt 4
Jacksonville, FL 32205-7982
Phone (904) 483-8206
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 |
|---|---|---|---|
| 25567 | FL | MD | Physical Therapy Assistant |
| 010076-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1083087753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 SYDNEY ST APT 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322057982",
"telephone_number": "904-483-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 SYDNEY ST APT 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322057982",
"telephone_number": "904-483-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "EMILY",
"middle_name": "WALKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "010076-1",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "25567",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.