Individual provider Active NPI

Emily Vick McQuiston, DPT

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1548749518
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33718 Issued in FL
Practice address
6169 S Jog Rd Ste A11
Lake Worth, FL 33467-6586
Phone
(561) 432-0111
Fax
(561) 432-0111
NPI assigned
Aug 10, 2018
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 PT33718 FL Primary

Addresses

Primary practice location

6169 S Jog Rd Ste A11
Lake Worth, FL 33467-6586

Mailing address

5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111

Other names 1

  • Emily Jameson, DPT Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190208003087 FL Practitioner - Physical Therapist in Private Practice 8628316007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6169 S Jog Rd
Suite A11
Lake Worth, FL 33467-6586
Phone (561) 432-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Coast Physical Therapy Associates LLC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Gold Coast Physical Therapy Associates LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

6169 S Jog Rd
Ste A11
Lake Worth, FL 33467
Phone (561) 331-3636

5840 Corporate Way
Ste 101
West Palm Beach, FL 33407
Phone (561) 852-7352

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1548749518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CORPORATE WAY STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072040",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S JOG RD STE A11",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676586",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUISTON",
        "first_name": "EMILY",
        "middle_name": "VICK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "JAMESON, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.