Active NPI
Emily Kale, DPT
- Physical Therapist
- Evans, GA
National Provider Identifier
1114694353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015645
- Practice address
- 536 Grand Slam Dr Ste D
Evans, GA 30809-8045 - Phone
- (706) 854-8434
- NPI assigned
- Aug 25, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P20737 | NC | |
| Physical Therapist | 225100000X | PT015645 | GA | Primary |
Addresses
Primary practice location
536 Grand Slam Dr Ste D
Evans, GA 30809-8045
Mailing address
857 Williford Run Dr
Grovetown, GA 30813-0010
Phone (704) 477-1148
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT015645 | GA | MD | Physical Therapist |
| P20737 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Center, Inc | Current | Accepting new patients | |
| Therapy Trails of Evans | Current | Accepting new patients | |
| Au Medical Center, Inc. | Current | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813
536 Grand Slam Dr
Ste D
Evans, GA 30809
Phone (706) 842-3330
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- Community/Retail Pharmacy
- Augusta, GA
- NPI 1487901476
-
- Multi-Specialty Clinic/Center
- Evans, GA
- NPI 1124677919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1114694353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 WILLIFORD RUN DR",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308130010",
"telephone_number": "704-477-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 GRAND SLAM DR STE D",
"city": "EVANS",
"state": "GA",
"postal_code": "308098045",
"telephone_number": "706-854-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALE",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20737",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.