Individual provider Active NPI

Emily E Jurschak, DPT

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1144714239
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214011 Issued in VA
Practice address
1005 N Glebe Rd Ste 410
Arlington, VA 22201-5931
Phone
(571) 414-6930
Fax
(571) 414-6941
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 2305214011 VA Primary

Addresses

Primary practice location

1005 N Glebe Rd Ste 410
Arlington, VA 22201-5931

Mailing address

1005 N Glebe Rd Ste 410
Arlington, VA 22201-5931
Phone (571) 414-6930

Other practice location 1

12 Hickory Ln
South Hamilton, MA 01982-2528
Phone (978) 771-8724

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

LicenseStateTypeSpecialty
2305214011VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1144714239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD STE 410",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015931",
            "telephone_number": "571-414-6930",
            "fax_number": "571-414-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD STE 410",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015931",
            "telephone_number": "571-414-6930",
            "fax_number": "571-414-6941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Hickory Ln",
            "address_purpose": "LOCATION",
            "city": "South Hamilton",
            "state": "MA",
            "postal_code": "019822528",
            "country_code": "US",
            "telephone_number": "978-771-8724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURSCHAK",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.