Individual provider Active NPI

Emma Louise Kuplicki

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1467913632
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT295832 Issued in CA
Practice address
1918 Guizot St
San Diego, CA 92107-2914
Phone
(516) 537-6451
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT295832 CA Primary

Addresses

Primary practice location

1918 Guizot St
San Diego, CA 92107-2914

Mailing address

1918 Guizot St
San Diego, CA 92107-2914
Phone (516) 537-6451

Other practice location 1

555 Paularino Ave Apt C205
Costa Mesa, CA 92626-3261
Phone (516) 537-6451

Other identifiers 1

IdentifierTypeStateIssuer
PT295832OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA - LICENSED PHYSICAL THERAPIST

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
PT295832CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1467913632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 GUIZOT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072914",
            "telephone_number": "516-537-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 GUIZOT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072914",
            "telephone_number": "516-537-6451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Paularino Ave Apt C205",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926263261",
            "country_code": "US",
            "telephone_number": "516-537-6451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPLICKI",
        "first_name": "EMMA",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA - LICENSED PHYSICAL THERAPIST",
            "identifier": "PT295832",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.