Active NPI
Emily Bietsch, PT
- Physical Therapist
- Amesbury, MA
National Provider Identifier
1134412414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4952
- Practice address
- 110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123 - Phone
- (978) 834-7125
- NPI assigned
- May 19, 2011
- Last updated
- May 19, 2011
- 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 | 4952 | CT | Primary |
Addresses
Primary practice location
110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123
Mailing address
110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4952 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Family Care Visiting Nurse & Home Health Care Agency, LLC | Past | Accepting new patients |
Locations
544 Campbell Ave
West Haven, CT 06516
Phone (203) 937-1650
Organizations & group practices 2
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.
-
- Physical Therapist
- West Haven, CT
- NPI 1366564106
-
- Home Health Agency
- Stratford, CT
- NPI 1215963822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1134412414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HAVERHILL RD",
"address_2": "SUITE 401",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HAVERHILL RD",
"address_2": "SUITE 401",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132123",
"telephone_number": "978-834-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIETSCH",
"first_name": "EMILY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-19",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "4952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amesbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.