Individual provider Active NPI

Emily Schubbe, DPT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1508207549
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10475 Issued in AZ
Practice address
3921 E Baseline Rd
Ste 105
Gilbert, AZ 85234-2727
Phone
(480) 503-2373
Fax
(480) 503-2375
NPI assigned
Jul 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 10475 AZ
Physical Therapist 225100000X 10475 AZ Primary

Addresses

Primary practice location

3921 E Baseline Rd
Ste 105
Gilbert, AZ 85234-2727

Mailing address

3921 E Baseline Rd
Ste 105
Gilbert, AZ 85234-2727
Phone (480) 503-2373

Other names 1

  • Emily Meduvsky Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008001224 MI Practitioner - Physical Therapist in Private Practice 3476797390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Michigan UniversityGroup PAC ID 3577558907, 13 clinicians

Practice addresses (Care Compare)

1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001
Phone (989) 774-3904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Michigan University Current Accepting new patients
Central Michigan University CurrentSince Aug 23, 2021 Accepting new patients
Central Michigan University Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients

Locations

1101 Health Professions
Mount Pleasant, MI 48859
Phone (989) 774-2597

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1508207549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 E BASELINE RD",
            "address_2": "STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342727",
            "telephone_number": "480-503-2373",
            "fax_number": "480-503-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 E BASELINE RD",
            "address_2": "STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342727",
            "telephone_number": "480-503-2373",
            "fax_number": "480-503-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBBE",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "10475",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MEDUVSKY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.