Individual provider Active NPI

Emily E Oliver, PT

  • Orthopedic Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1275016925
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
13114 Pennsylvania Ave
Hagerstown, MD 21742-2741
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

13114 Pennsylvania Ave
Hagerstown, MD 21742-2741

Mailing address

13114 Pennsylvania Ave
Hagerstown, MD 21742-2741
Phone (301) 800-7770

Other practice location 1

1165 Imperial Dr Ste 100
Hagerstown, MD 21740-6582
Phone (301) 800-7770

Other practice location 2

3127 Valley Ave
Winchester, VA 22601-2635
Phone (540) 667-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810000060 MD Practitioner - Physical Therapist in Private Practice 0446504807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premiere Spine and Sports Medicine LLCGroup PAC ID 6901170885, 4 clinicians

Practice addresses (Care Compare)

13114 Pennsylvania Ave
Hagerstown, MD 21742-3720
Phone (301) 800-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Spine and Sports Medicine LLC Physical Medicine & Rehabilitation CurrentSince Jul 6, 2020 Accepting new patients
Premiere Spine and Sports Medicine LLC Physical Medicine & Rehabilitation CurrentSince May 1, 2024 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

1165 Imperial Dr
Hagerstown, MD 21740
Phone (301) 665-2906

13114 Pennsylvania Ave
Hagerstown, MD 21742
Phone (240) 313-3310

13114 Pennsylvania Ave
#B
Hagerstown, MD 21742
Phone (301) 800-7770

13114 Pennsylvania Ave
#A
Hagerstown, MD 21742
Phone (301) 800-7770

1165 Imperial Dr
Ste 100
Hagerstown, MD 21740
Phone (301) 800-7770

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGCDDD
  • FHIR API: https://api.platform.athenahealth.com/16159/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1275016925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13114 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422741",
            "telephone_number": "301-800-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13114 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422741",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Imperial Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406582",
            "country_code": "US",
            "telephone_number": "301-800-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3127 Valley Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012635",
            "country_code": "US",
            "telephone_number": "540-667-1800",
            "fax_number": "540-667-3839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.