Individual provider Active NPI

Emily Alessandroni, PT, DPT

  • Physical Therapist
  • Kingsford, MI
National Provider Identifier
1083293674
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019633 Issued in MI
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
5501019633MIMDPhysical Therapist
15316-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.