Active NPI
Emily Elizabeth Chisholm, PT, DPT
- Physical Therapist
- Independence, MO
National Provider Identifier
1467181891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-07043
- Practice address
- 19000 E Eastland Center CT Ste 200
Independence, MO 64055-7023 - Phone
- (816) 478-9299
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-07043 | KS | Primary |
Addresses
Primary practice location
19000 E Eastland Center CT Ste 200
Independence, MO 64055-7023
Mailing address
19000 E Eastland Center CT Ste 200
Independence, MO 64055-7023
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-07043 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1467181891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19000 E EASTLAND CENTER CT STE 200",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19000 E EASTLAND CENTER CT STE 200",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557023",
"telephone_number": "816-478-9299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISHOLM",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-07043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.