Emily Elizabeth Srnka, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34544 Issued in FL

Practice address

775 N Bank LN
Suite 104
Lake Forest, IL 60045-1890

Phone

(847) 295-1241

NPI assigned

Sep 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Emily Elizabeth Lockhart 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 and National Provider Directory roles.

• Wellness Solutions Physical Therapy PC

  • Physical Therapist
  • Lake Forest, IL
  • NPI 1366886509
  NPD (past)

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1154790178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21756 STATE ROAD 54",
            "address_2": "STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492905",
            "telephone_number": "847-295-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 N BANK LN",
            "address_2": "SUITE 104",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451890",
            "telephone_number": "847-295-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRNKA",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13022",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021764",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT34544",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LOCKHART",
            "middle_name": "ELIZABETH",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Doris E Spicer, MS, APN-C
• Spine & Wellness Clinic, Inc.
• Karen Spinelli-Falberg, LCSW
• Katie R Springer, PA-C
• Krishnaswami Sriram, M. D.,
• Kelly Stanczak, DPT
• Sandra Ruth Stanfel, AU.D.
• Emily Starks
• Starmed Diagnostics Inc
• Allison Becca Stein Lieb, RN, BSN, MSN, WHNP-B

• Physical Therapist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.