Individual provider Active NPI

Emily Theresa Fitzgerald, DPT

  • Physical Therapist
  • Jamestown, NY
National Provider Identifier
1093245227
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15 S Main St Ste 220
Jamestown, NY 14701-6626
Phone
(716) 484-4334
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 Primary

Addresses

Primary practice location

15 S Main St Ste 220
Jamestown, NY 14701-6626

Mailing address

682 Pleasant Dr
Warren, PA 16365-3468

Other practice location 1

682 Pleasant Dr
Warren, PA 16365-3468
Phone (814) 723-7060

Other names 1

  • Emily Theresa Fitzgerald Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517001606 NY Practitioner - Physical Therapist in Private Practice 4385000371 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Chautauqua Center, Inc CurrentSince Dec 16, 2024 Accepting new patients
The Chautauqua Center, Inc CurrentSince Dec 16, 2024 Accepting new patients
Caring Rehab PT PLLC Physical Therapist CurrentSince Mar 3, 2023 Accepting new patients
Chautauqua PT OT & SLP Professionals PLLC Past Accepting new patients

Locations

418 Broadway
Ste N
Albany, NY 12207
Phone (201) 278-8966

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

15 S Main St
Ste 220
Jamestown, NY 14701
Phone (716) 484-4334

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22211/brand/1/csg/1/fhir/r4
  • Direct secure messaging: emily.fitzgerald.1@22211.direct.athenahealth.com

Organizations & group practices 4

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1093245227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 220",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-484-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "682 Pleasant Dr",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163653468",
            "country_code": "US",
            "telephone_number": "814-723-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "EMILY",
        "middle_name": "THERESA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "FITZGERALD",
            "middle_name": "THERESA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.

Verify at the official NPI Registry.