Individual provider Active NPI

Emma Barnes Runquist, DPT

  • Physical Therapist
  • Conway, NH
National Provider Identifier
1093338238
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4757 Issued in NH
Practice address
64 Hobbs St # 3
Conway, NH 03818-6251
Phone
(603) 242-1103
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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 4757 NH Primary

Addresses

Primary practice location

64 Hobbs St # 3
Conway, NH 03818-6251

Mailing address

30 Alpine Place Dr Unit 110
North Conway, NH 03860-5277
Phone (603) 447-2533

Other practice location 1

37 Main St
Conway, NH 03818-6166
Phone (603) 447-2533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212001882 NH Practitioner - Physical Therapist in Private Practice 7012322662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

64 Hobbs St
Suite 3
Conway, NH 03818-6251
Phone (603) 242-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4757NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressions Physical Therapy LLC Physical Therapist CurrentSince Nov 30, 2023 Accepting new patients

Locations

64 Hobbs St
#3
Conway, NH 03818
Phone (603) 242-1035

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1093338238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ALPINE PLACE DR UNIT 110",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605277",
            "telephone_number": "603-447-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 HOBBS ST # 3",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186251",
            "telephone_number": "603-242-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Main St",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "NH",
            "postal_code": "038186166",
            "country_code": "US",
            "telephone_number": "603-447-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNQUIST",
        "first_name": "EMMA",
        "middle_name": "BARNES",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.