Individual provider Active NPI

Emily Dodds Yenor, MPT

  • Physical Therapist
  • Brookfield, WI
National Provider Identifier
1508977331
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9498024 Issued in WI
Practice address
13825 W Burleigh Rd
Brookfield, WI 53005-3058
Phone
(262) 754-3450
Fax
(262) 754-3450
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9498024 WI Primary

Addresses

Primary practice location

13825 W Burleigh Rd
Brookfield, WI 53005-3058

Mailing address

10245 W Sunset Ave
Wauwatosa, WI 53222-2348
Phone (414) 405-3956

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9498024WIMDPhysical Therapist
28853CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa M Taylor Physical Therapist Past Accepting new patients
Orlanu Therapies -the Myofascial Release Center of Milwaukee, S.C. Physical Therapist Past Accepting new patients
Schaefer Medical SC Past Accepting new patients

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1508977331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 W SUNSET AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532222348",
            "telephone_number": "414-405-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 W BURLEIGH RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053058",
            "telephone_number": "262-754-3450",
            "fax_number": "262-754-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENOR",
        "first_name": "EMILY",
        "middle_name": "DODDS",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9498024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.