Active NPI
Marie M Emert, PT
- Physical Therapist
- Grand Blanc, MI
National Provider Identifier
1083871008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501009791
- Practice address
- 8245 Holly Rd
Suite 204
Grand Blanc, MI 48439-2443 - Phone
- (810) 603-0040
- Fax
- (810) 603-0044
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501009791 | MI | Primary |
Addresses
Primary practice location
8245 Holly Rd
Suite 204
Grand Blanc, MI 48439-2443
Mailing address
8245 Holly Rd
Suite 204
Grand Blanc, MI 48439-2443
Phone (810) 603-0040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230110002832 | MI | Practitioner - Physical Therapist in Private Practice | 0446620306 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501009791 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1083871008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8245 HOLLY RD",
"address_2": "SUITE 204",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392443",
"telephone_number": "810-603-0040",
"fax_number": "810-603-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8245 HOLLY RD",
"address_2": "SUITE 204",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392443",
"telephone_number": "810-603-0040",
"fax_number": "810-603-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERT",
"first_name": "MARIE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501009791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.