Emily Shay Harrell, PT, DPT – Physical Therapist

Key facts

NPI: 1104658772
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 1396985 (TX)
Practice address: 100 Plaza PL Ste 400
Northlake, TX 76226-3479
Phone: (940) 242-2002
Fax: (940) 271-0128
NPI assigned: Aug 14, 2024
Sex: Female
Sole proprietor: No

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.

Nto Physician Partners, PLLC Orthopaedic Surgery Physician · Grapevine, TX · NPI 1114443181

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240827003114	TX	Practitioner - Physical Therapist in Private Practice	4486193067

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Nto Physician Partners, PLLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	1396985	TX	Yes

Addresses

Primary practice location

100 Plaza PL Ste 400
Northlake, TX 76226-3479

Mailing address

9101 Timber Oaks Dr
Fort Worth, TX 76179-3247
Phone (817) 308-5659

Other providers in Northlake, TX

All providers in Northlake, TX · Physical Therapist in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.