Individual provider Active NPI

Emily Tejano, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1093499576
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41667 Issued in FL
Practice address
12250 Tamiami TRL E Ste 102
Naples, FL 34113-8108
Phone
(239) 417-0027
NPI assigned
Jun 14, 2023
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41667 FL Primary
Physical Therapist 225100000X 11-07355 KS

Addresses

Primary practice location

12250 Tamiami TRL E Ste 102
Naples, FL 34113-8108

Mailing address

25241 Elementary Way Ste 200
Bonita Springs, FL 34135-7883
Phone (239) 947-4184

Other practice location 1

3730 N Ridge Rd Ste 500
Wichita, KS 67205-1233
Phone (316) 440-4901

Other practice location 2

7740 Preserve Ln Ste 5
Naples, FL 34119-9710
Phone (239) 227-2297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41667FLMDPhysical Therapist
11-07355KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzbiz, LLC Physical Therapist CurrentSince Jun 16, 2024 Accepting new patients
Douglass Orthopedic & Spine Rehabilitation, Inc. Physical Therapist CurrentSince Jun 16, 2024 Accepting new patients

Locations

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

7740 Preserve Ln
Ste 5
Naples, FL 34119
Phone (239) 227-2297

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1093499576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25241 ELEMENTARY WAY STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357883",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 TAMIAMI TRL E STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341138108",
            "telephone_number": "239-417-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3730 N Ridge Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672051233",
            "country_code": "US",
            "telephone_number": "316-440-4901",
            "fax_number": "316-440-3741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7740 Preserve Ln Ste 5",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341199710",
            "country_code": "US",
            "telephone_number": "239-227-2297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEJANO",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41667",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.