Individual provider Active NPI

Emily Ann Kupper, PT, DPT

  • Orthopedic Physical Therapist
  • Lehigh Acres, FL
National Provider Identifier
1093380156
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT37150 Issued in FL
Practice address
2724 5TH St W Ste a
Lehigh Acres, FL 33971-1581
Phone
(239) 303-1501
Fax
(888) 803-9101
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT37150 FL Primary

Addresses

Primary practice location

2724 5TH St W Ste a
Lehigh Acres, FL 33971-1581

Mailing address

363 Pembroke St, Lehigh Acres, FL.
Lehigh Acres, FL 33974-9571
Phone (239) 297-8654

Other names 1

  • Miss Emily Ann Lowe Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403000806 FL Practitioner - Physical Therapist in Private Practice 6002254596 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Rehabilitation Specialists 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1093380156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 PEMBROKE ST, LEHIGH ACRES, FL.",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339749571",
            "telephone_number": "239-297-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 5TH ST W STE A",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711581",
            "telephone_number": "239-303-1501",
            "fax_number": "888-803-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPER",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT37150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LOWE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "EMILY LOWE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.