Individual provider Active NPI

Emily Neal, DPT

  • Physical Therapist
  • Monroe, MI
National Provider Identifier
1154848091
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018350 Issued in MI
Practice address
5931 Bluebush Rd
Monroe, MI 48162-9115
Phone
(734) 735-2421
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018350 MI Primary

Addresses

Primary practice location

5931 Bluebush Rd
Monroe, MI 48162-9115

Mailing address

5931 Bluebush Rd
Monroe, MI 48162-9115
Phone (734) 735-2421

Other names 1

  • Emily Neal Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921001710 MI Practitioner - Physical Therapist in Private Practice 5193099653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5931 Bluebush Rd
Monroe, MI 48162-9115
Phone (734) 735-2421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018350MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phenom Sports and Rehabilitation Physical Therapist Current Accepting new patients
Courageous Rehab and Wellness, LLC Physical Therapist CurrentSince Jun 8, 2023 Accepting new patients

Locations

1507 N Telegraph Rd
Monroe, MI 48162

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1154848091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 BLUEBUSH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629115",
            "telephone_number": "734-735-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 BLUEBUSH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629115",
            "telephone_number": "734-735-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "NEAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.