Active NPI
Emily Folsom, DPT
- Physical Therapist
- Live Oak, FL
National Provider Identifier
1114342409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 26260
- Practice address
- 405 11TH St SW
Live Oak, FL 32064-3161 - Phone
- (386) 364-5051
- NPI assigned
- Feb 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 26260 | FL | Primary |
Addresses
Primary practice location
405 11TH St SW
Live Oak, FL 32064-3161
Mailing address
405 11TH St SW
Live Oak, FL 32064-3161
Phone (386) 364-5051
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 26260 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1114342409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 11TH ST SW",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320643161",
"telephone_number": "386-364-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 11TH ST SW",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320643161",
"telephone_number": "386-364-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLSOM",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 26260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, FL
- FL-I Medical Services, LLC
- Catherine Fleischman
- Florida Department of Health (Suwannee County Health Department)
- Florida Nursing Care Services II, LLC
- Florida Sheriffs Youth Ranches
- Amber Elizabeth Friis, RCSWI
- Jasmine Lakendra Gainer, CNA
- GC Therapy Options
- Brandy Geering
- Gentle Touch Laboratory LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.