Active NPI
Justin Eital Emerson, PT
- Physical Therapist
- Tacoma, WA
National Provider Identifier
1255923041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61129630
- Practice address
- 1818 S Union Ave Ste 1B
Tacoma, WA 98405-1953 - Phone
- (253) 627-7012
- Fax
- (253) 627-7014
- NPI assigned
- Feb 3, 2021
- Sex
- Male
- 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 | PT61129630 | WA | Primary |
Addresses
Primary practice location
1818 S Union Ave Ste 1B
Tacoma, WA 98405-1953
Mailing address
1818 S Union Ave Ste 1B
Tacoma, WA 98405-1953
Phone (253) 627-7012
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://s3.console.aws.amazon.com/ | Direct | |
| Other URL | https://s3.console.aws.amazon.com/ | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1255923041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 S UNION AVE STE 1B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051953",
"telephone_number": "253-627-7012",
"fax_number": "253-627-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 S UNION AVE STE 1B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051953",
"telephone_number": "253-627-7012",
"fax_number": "253-627-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "JUSTIN",
"middle_name": "EITAL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61129630",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://s3.console.aws.amazon.com/",
"affiliation": "N",
"endpointDescription": "AWS Cloud Services",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Cloud",
"address_1": "1818 S Union Ave Ste 1B",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984051953",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://s3.console.aws.amazon.com/",
"affiliation": "N",
"endpointDescription": "AWS Cloud Services",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Cloud",
"address_1": "1818 S Union Ave Ste 1B",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984051953",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.