Emma Champagne

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27267 Issued in MA

Practice address

500 E Washington St
North Attleboro, MA 02760-6301

Phone

(508) 316-0559

NPI assigned

Mar 15, 2024

Sex

Female

Sole proprietor

No

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.

• Elliott Physical Therapy, Inc.

  • Physical Therapist
  • Dorchester, MA
  • NPI 1639591126

  MA, Physical Therapist

  Medicare reassignment Care Compare group NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elliott Physical Therapy, Inc 60 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2024.

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1114786993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606301",
            "telephone_number": "508-316-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606301",
            "telephone_number": "508-316-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gertrude Carl, LICSW
• David John Casey, M.ED
• Maria Christina Caudle
• Christopher Caulfield, CNP
• CB Serenity Hub LLC
• Nicholas Joseph Charboneau, PA-C
• Leo Charlebois, NP
• Frandia Chatelain, FNP-C
• Aqib Chaudhry, MD
• Brandon Cherenzia, PHARMD

• All providers in North Attleboro, MA
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.