Emily Rodgers Waldorf, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38001 Issued in CA

Practice address

1792 E Joyce Blvd Ste 105
Fayetteville, AR 72703-5253

Phone

(870) 260-2775

NPI assigned

Sep 15, 2011

Last updated

May 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emily Rodgers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cypress Physical Therapy Center, Inc.

  • Orthopedic Physical Therapist
  • Pacific Palisades, CA
  • NPI 1831977230
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1134401177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 E JOYCE BLVD STE 105",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035253",
            "telephone_number": "870-260-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 E JOYCE BLVD STE 105",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035253",
            "telephone_number": "870-260-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDORF",
        "first_name": "EMILY",
        "middle_name": "RODGERS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR LICENCE",
            "identifier": "PT4424",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RODGERS",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lara Lamastus Waite, DPT PT
• Allie Frances Wakefield, LPEI
• Wal-Mart Stores, Inc (Walmart Pharmacy 10-4516)
• Wal-Mart Stores, Inc. (Vision Center 30-0359)
• Wal-Mart Stores, Inc. (Vision Center 30-0144)
• Justin David Waldorf, DPT
• Walgreen Co (Walgreens #07718)
• Walgreen Co (Walgreens #05475)
• Walgreen Co (Walgreens #13118)
• Walgreen Co (Walgreens #07847)

• Physical Therapist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.