Active NPI
Emily Morgan Marriott
- Physical Therapy Assistant
- Rexburg, ID
National Provider Identifier
1487199295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-4834
- Practice address
- 36 Winn Dr Ste 100
Rexburg, ID 83440-5277 - Phone
- (208) 356-0174
- Fax
- (208) 356-0176
- NPI assigned
- Jan 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA-4834 | ID | Primary |
Addresses
Primary practice location
36 Winn Dr Ste 100
Rexburg, ID 83440-5277
Mailing address
66 S 1St W
Rexburg, ID 83440-1815
Phone (253) 508-9472
Other names 1
- Emily Morgan Marriott
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 |
|---|---|---|---|
| PTA-4834 | ID | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMD Therapies, PLLC | Past | Accepting new patients | |
| Mountain View Hospital LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Physical Therapist
- Rexburg, ID
- NPI 1194732214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1487199295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 S 1ST W",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401815",
"telephone_number": "253-508-9472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WINN DR STE 100",
"city": "REXBURG",
"state": "ID",
"postal_code": "834405277",
"telephone_number": "208-356-0174",
"fax_number": "208-356-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRIOTT",
"first_name": "EMILY",
"middle_name": "MORGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-03",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ID",
"license": "PTA-4834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "MARRIOTT",
"middle_name": "MORGAN",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.