Jolanta H. Emanuel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18800 Issued in FL

Practice address

450 Racetrack Road
Suite G
Fort Walton Beach, FL 32547

Phone

(850) 863-4698

Fax

(850) 863-8580

NPI assigned

Feb 21, 2006

Last updated

Aug 13, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gulf Breeze Physical Therapy Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1730183153

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1235104472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614835",
            "telephone_number": "850-932-6382",
            "fax_number": "850-932-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 RACETRACK ROAD",
            "address_2": "SUITE G",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-863-4698",
            "fax_number": "850-863-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUEL",
        "first_name": "JOLANTA",
        "middle_name": "H.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Alycen Ellis
• Megan Ellis
• Ralph Ellis IV
• Jasmyn Ellison, PHARMD
• Kenneth Robert Ellison, PA
• Emerald Coast Audiology PA
• Emerald Coast Bone Densitometry
• Emerald Coast Dentistry
• Emerald Coast Diabetes & Nutrition Center
• Emerald Coast Ear, Nose, Throat & Allergies, P.a.

• Physical Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.