Active NPI
Emily Baeuerle, PT, DPT
- Physical Therapist
- Monroe, NC
National Provider Identifier
1154090165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Practice addresses (Care Compare)
Raleigh, NC 27612
Phone (928) 296-9285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11780 | SC | MD | Pharmacist |
| P21871 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabsuite Inc | Physical Therapist | Current | 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.