Individual provider Active NPI

Emily Richart

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1083377162
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.022996 Issued in IL
Practice address
1300 W Belmont Ave # 400C
Chicago, IL 60657-3200
Phone
(812) 581-5424
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.022996 IL Primary

Addresses

Primary practice location

1300 W Belmont Ave # 400C
Chicago, IL 60657-3200

Mailing address

5035 N Winchester Ave # 2N
Chicago, IL 60640-2619
Phone (812) 581-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231110001892 OR Practitioner - Physical Therapist in Private Practice 0042667123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Physio LLCGroup PAC ID 3476968611, 5 clinicians

Practice addresses (Care Compare)

2797 NW Clearwater Dr
Suite 400
Bend, OR 97703-7018
Phone (541) 216-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.022996ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Physio LLC Physical Therapist CurrentSince Sep 13, 2023 Accepting new patients

Locations

2797 NW Clearwater Dr
Ste 400
Bend, OR 97703
Phone (541) 216-6100

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1083377162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 N WINCHESTER AVE # 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402619",
            "telephone_number": "812-581-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE # 400C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "812-581-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHART",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.

Verify at the official NPI Registry.