Active NPI
Emily Alessandroni, PT, DPT
- Physical Therapist
- Kingsford, MI
National Provider Identifier
1083293674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019633
- Practice address
- 505 N Hooper St
Kingsford, MI 49802-5406 - Phone
- (906) 776-9003
- Fax
- (906) 776-9063
- NPI assigned
- Apr 2, 2021
- Last updated
- Jan 28, 2025
- 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 | 5501019633 | MI | Primary |
| Physical Therapist | 225100000X | 15316-24 | WI |
Addresses
Primary practice location
505 N Hooper St
Kingsford, MI 49802-5406
Mailing address
505 N Hooper St
Kingsford, MI 49802-5406
Phone (906) 776-9003
Other names 1
- Emily Fisk
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019633 | MI | MD | Physical Therapist |
| 15316-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickinson County Healthcare System | Physical Therapist | Past | Accepting new patients |
| Dickinson County Healthcare System | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
-
dba Marshfield Medical Center - Dickinson Niagara Rehab Center
- Rehabilitation Clinic/Center
- Niagara, WI
- NPI 1043892003
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1083293674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N HOOPER ST",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "498025406",
"telephone_number": "906-776-9003",
"fax_number": "906-776-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N HOOPER ST",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "498025406",
"telephone_number": "906-776-9003",
"fax_number": "906-776-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALESSANDRONI",
"first_name": "EMILY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019633",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15316-24",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "FISK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kingsford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.