Individual provider Active NPI

Emily Baeuerle, PT, DPT

  • Physical Therapist
  • Monroe, NC
National Provider Identifier
1154090165
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11780 Issued in SC
Practice address
2814 Gray Fox Rd
Monroe, NC 28110-8422
Phone
(704) 821-0568
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 11780 SC Primary
Physical Therapist 225100000X P21871 NC

Addresses

Primary practice location

2814 Gray Fox Rd
Monroe, NC 28110-8422

Mailing address

1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035
Phone (704) 654-8599

Other names 1

  • Emily Wilkens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708001461 NC Practitioner - Physical Therapist in Private Practice 9537673025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabsuite IncGroup PAC ID 1254799745, 29 clinicians

Practice addresses (Care Compare)

Raleigh, NC 27612
Phone (928) 296-9285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11780SCMDPharmacist
P21871NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabsuite Inc Physical Therapist CurrentSince Jun 4, 2025 Accepting new patients
Pediatric Boulevard, PLLC Physical Therapist Past Accepting new patients

Locations

3623 Crossings Dr
Ste 282
Prescott, AZ 86305
Phone (928) 296-9285

4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1154090165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W STE 240",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088035",
            "telephone_number": "704-654-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 GRAY FOX RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108422",
            "telephone_number": "704-821-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEUERLE",
        "first_name": "EMILY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11780",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WILKENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.