Individual provider Active NPI

Emily Ann Buskirk, PTA

  • Physical Therapy Assistant
  • Pensacola, FL
National Provider Identifier
1396183455
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
23779 Issued in FL
Practice address
235 W Airport Blvd
Pensacola, FL 32505-2239
Phone
(850) 857-5200
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 23779 FL Primary

Addresses

Primary practice location

235 W Airport Blvd
Pensacola, FL 32505-2239

Mailing address

235 W Airport Blvd
Pensacola, FL 32505-2239
Phone (850) 857-5200

Other names 1

  • Ms. Emily Ann Bell Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23779FLMDSonography Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1396183455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W AIRPORT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052239",
            "telephone_number": "850-857-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W AIRPORT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052239",
            "telephone_number": "850-857-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSKIRK",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "23779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BELL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.