Individual provider Active NPI

Emily Margaret Gantt, PT, DPT, ATC

  • Physical Therapist
  • Vestavia, AL
National Provider Identifier
1285141044
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11025 Issued in AL
Practice address
3125 Blue Lake Dr
Vestavia, AL 35243-2333
Phone
(205) 969-7887
NPI assigned
Jan 3, 2018
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH11025 AL Primary
Athletic Trainer 2255A2300X 2601002155 MI

Addresses

Primary practice location

3125 Blue Lake Dr
Vestavia, AL 35243-2333

Mailing address

3125 Blue Lake Dr
Vestavia, AL 35243-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220912001239 AL Practitioner - Physical Therapist in Private Practice 9638554629 Reassigns benefits to 2 organizations
I20260129003220 MA Practitioner - Physical Therapist in Private Practice 9638554629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Physical Therapy and Wellness LLCGroup PAC ID 3779976824, 6 clinicians
Boston Sports Medicine IncGroup PAC ID 9032163985, 28 clinicians

Practice addresses (Care Compare)

2500 3Rd Ave S
Birmingham, AL 35233-2517
Phone (205) 202-6078

54 Harvard St
Brookline, MA 02445-7940
Phone (617) 262-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11025ALMDPhysical Therapist
2601002155MIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Agile Physical Therapy, LLC CurrentSince Sep 6, 2022 Accepting new patients
Boston Sports Medicine Inc Physical Therapist CurrentSince Jan 20, 2026 Accepting new patients

Locations

2500 3rd Ave S
Birmingham, AL 35233
Phone (205) 202-6078

2821 2nd Ave S
Ste E
Birmingham, AL 35233
Phone (205) 202-6078

3125 Blue Lake Dr
Vestavia, AL 35243
Phone (205) 969-7887

62 Harvard St
Ste 1
Brookline, MA 02445
Phone (617) 262-0030

14 McGrath Hwy
Somerville, MA 02143
Phone (617) 623-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11813/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1285141044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 BLUE LAKE DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 BLUE LAKE DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432333",
            "telephone_number": "205-969-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "EMILY",
        "middle_name": "MARGARET",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11025",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.