NPIMap

Individual provider Active NPI

Emma Tolley

  • Physical Therapist
  • West Columbia, SC
National Provider Identifier
1104657014
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12481 Issued in SC
Practice address
100 Dreher Road
Suite 100
West Columbia, SC 29169
Phone
(803) 525-8070
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 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 12481 SC Primary

Addresses

Primary practice location

100 Dreher Road
Suite 100
West Columbia, SC 29169

Mailing address

929 Drake St Apt C
Columbia, SC 29209-1647

Other practice location 1

108 Palmetto Park Blvd Ste B
Lexington, SC 29072-7969
Phone (803) 359-2323

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12481SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Physical Therapy LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients

Organizations & group practices 9

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1104657014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 DRAKE ST APT C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DREHER ROAD",
            "address_2": "SUITE 100",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-525-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Palmetto Park Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290727969",
            "country_code": "US",
            "telephone_number": "803-359-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLEY",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.