Emily Dawn Culicerto

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

002699 Issued in WV

Practice address

1631 Ritter Dr
Daniels, WV 25832-9264

Phone

(305) 130-4763

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Dawn Lilly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1225857246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HUNTERS XING",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188331",
            "telephone_number": "304-860-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 RITTER DR",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329264",
            "telephone_number": "305-130-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULICERTO",
        "first_name": "EMILY",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "002699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LILLY",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Community Health Systems Inc. (Access Health-Daniels)
• Community Health Systems, Inc. (Access Health)
• Sarah Ann Cooper, PTA
• Tammy Elaine Corner, RBA
• Sebastian Cuevas Pareja, M.D.
• Jill Davis, FNP-C
• Debra Dean
• Rebecca Dilly, FNP-BC
• Lauren Downing-Sampson, M.S., CCC-SLP
• Michelle L Dudding, CRNA

• Physical Therapy Assistant in Daniels, WV
• Providers in Daniels, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.