Individual provider Active NPI

Emma Bronwyn Wilcock, DPT, PT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1417787516
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23485 Issued in NC
Practice address
5830 Granite Pkwy Ste 800
Plano, TX 75024-6775
Phone
(469) 694-0660
NPI assigned
Aug 5, 2024
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P23485 NC Primary
Physical Therapist 225100000X CP033425T VA
Physical Therapist 225100000X CP043736T OR

Addresses

Primary practice location

5830 Granite Pkwy Ste 800
Plano, TX 75024-6775

Mailing address

669 Fearrington Post
Pittsboro, NC 27312-8523
Phone (814) 441-6542

Other practice location 1

2519 Cove Ave
LA Grande, OR 97850-3910
Phone (541) 962-0830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, OR, ID4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240912004064 VA Practitioner - Physical Therapist in Private Practice 2163961335 Reassigns benefits to 1 organization
I20250310001069 NC Practitioner - Physical Therapist in Private Practice 2163961335 Reassigns benefits to 1 organization
I20250710003834 OR Practitioner - Physical Therapist in Private Practice 2163961335 Reassigns benefits to 1 organization
I20260330002508 ID Practitioner - Physical Therapist in Private Practice 2163961335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Valley Therapy, IncGroup PAC ID 9537053079, 14 clinicians

Practice addresses (Care Compare)

2519 Cove Ave
La Grande, OR 97850-3910
Phone (541) 962-0830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Rehabilitation Inc Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Mountain Valley Therapy, Inc Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients
Edwards and Associates Physical Therapy Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
The Jackson Clinics LLC Physical Therapist Past Accepting new patients

Locations

159 Crossover Rd
Beulaville, NC 28518
Phone (910) 298-6455

2519 Cove Ave
La Grande, OR 97850
Phone (541) 962-0830

Organizations & group practices 6

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1417787516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 FEARRINGTON POST",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128523",
            "telephone_number": "814-441-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 GRANITE PKWY STE 800",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246775",
            "telephone_number": "469-694-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2519 Cove Ave",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978503910",
            "country_code": "US",
            "telephone_number": "541-962-0830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOCK",
        "first_name": "EMMA",
        "middle_name": "BRONWYN",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23485",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP033425T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "CP043736T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.