Active NPI
Emily Ciccarella, DPT
- Physical Therapist
- Bluffton, SC
National Provider Identifier
1164845277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7256
- Practice address
- 38 Sheridan Park Cir
Suite C
Bluffton, SC 29910-7022 - Phone
- (843) 815-5628
- Fax
- (843) 815-5637
- NPI assigned
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7256 | SC | Primary |
Addresses
Primary practice location
38 Sheridan Park Cir
Suite C
Bluffton, SC 29910-7022
Mailing address
118 Glenwater Dr
Apt 304
Ridgeland, SC 29936-3149
Phone (716) 725-5689
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7256 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1164845277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 GLENWATER DR",
"address_2": "APT 304",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299363149",
"telephone_number": "716-725-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 SHERIDAN PARK CIR",
"address_2": "SUITE C",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299107022",
"telephone_number": "843-815-5628",
"fax_number": "843-815-5637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCARELLA",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.