Individual provider Active NPI

Emily A Watkins, PT

  • Physical Therapist
  • Angola, IN
National Provider Identifier
1417515131
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
99093089A Issued in IN
Practice address
500 E Harcourt Rd
Angola, IN 46703-7590
Phone
(260) 665-7000
NPI assigned
May 29, 2019
Last updated
May 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 99093089A IN Primary

Addresses

Primary practice location

500 E Harcourt Rd
Angola, IN 46703-7590

Mailing address

1460 Lane 120
Hamilton, IN 46742
Phone (260) 667-7088

Other identifiers 1

IdentifierTypeStateIssuer
99093089AOtherINLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190727000074 IN Practitioner - Physical Therapist in Private Practice 0648506758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Achieve Physical Therapy and Sports Performance LLCGroup PAC ID 8224177084, 3 clinicians

Practice addresses (Care Compare)

202 E Harcourt Rd
Suite 1400
Angola, IN 46703-7198
Phone (260) 665-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Physical Therapy and Sports Performance, LLC Physical Therapist CurrentSince May 19, 2019 Accepting new patients

Locations

202 E Harcourt Rd
Ste 1400
Angola, IN 46703

202 E Harcourt Rd
Ste U
Angola, IN 46703
Phone (260) 665-7000

500 E Harcourt Rd
Angola, IN 46703
Phone (260) 665-7000

Organizations & group practices 1

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1417515131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 LANE 120",
            "city": "HAMILTON",
            "state": "IN",
            "postal_code": "46742",
            "telephone_number": "260-667-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E HARCOURT RD",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467037590",
            "telephone_number": "260-665-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99093089A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "99093089A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.