Active NPI
Christopher Harris Emmerich, PT
- Physical Therapist
- Goldsboro, NC
National Provider Identifier
1184220089
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P13380
- Practice address
- 2401 Wayne Memorial Dr
Goldsboro, NC 27534-1727 - Phone
- (919) 736-2121
- NPI assigned
- Dec 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | P13380 | NC | Primary |
Addresses
Primary practice location
2401 Wayne Memorial Dr
Goldsboro, NC 27534-1727
Mailing address
219 Derby Park Ave
New Bern, NC 28562-7069
Phone (252) 670-3140
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P13380 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1184220089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 DERBY PARK AVE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285627069",
"telephone_number": "252-670-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341727",
"telephone_number": "919-736-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMERICH",
"first_name": "CHRISTOPHER",
"middle_name": "HARRIS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P13380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
- Jasmine Detrice Ellison, LCSW-A
- Elysium Counseling, PLLC
- Embrace Life Home Care of NC, LLC
- Emeritus Corporation (Brookdale Country Day Road)
- Emily Daniel DDS PLLC
- Enc Care Services, LLC (SYNERGY HomeCare NC19)
- Encore Pediatric Therapy, PLLC
- Encouraging Hearts Non-Emergency Medical Transportation ,LLC.
- Encouraging Hearts, LLC.
- Endoscopy Center of Goldsboro LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.