Individual provider Active NPI

Emily Brock, DPT

  • Physical Therapist
  • Demorest, GA
National Provider Identifier
1578286191
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016110 Issued in GA
Practice address
225 Adams Dr Ste D
Demorest, GA 30535-4578
Phone
(706) 754-3167
Fax
(706) 754-3169
NPI assigned
Sep 20, 2022
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016110 GA Primary
Physical Therapist 225100000X PTL88911 MA
Physical Therapist 225100000X CP049712T CO
Physical Therapist 225100000X 12592 SC

Addresses

Primary practice location

225 Adams Dr Ste D
Demorest, GA 30535-4578

Mailing address

2400 Wisteria Dr Ste a
Snellville, GA 30078-2689
Phone (770) 982-0102

Other practice location 1

7378 Friendship Springs Blvd Ste B
Flowery Branch, GA 30542-5547
Phone (678) 318-8030

Other practice location 2

145 Forest Blvd Ste 200
Dawsonville, GA 30534-7878
Phone (706) 203-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, SC, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231004000731 AZ Practitioner - Physical Therapist in Private Practice 3375912231 Reassigns benefits to 1 organization
I20241011002221 SC Practitioner - Physical Therapist in Private Practice 3375912231 Reassigns benefits to 4 organizations
I20250903002744 MA Practitioner - Physical Therapist in Private Practice 3375912231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Needham St
FL 2
Newton, MA 02464-1500
Phone (978) 548-5384

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12592SCMDPharmacist
CP049712TCOMDPhysical Therapist
PT016110GAMDPhysical Therapist
PTL88911MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 14, 2025 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 14, 2025 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Sep 23, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jul 1, 2021 Accepting new patients
Atlanta Rehabilitation and Performance Center PastSince Oct 5, 2026 Accepting new patients
Ati Holdings, LLC Physical Therapist PastSince Sep 1, 2022 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients
Ati Holding LLC Physical Therapist PastSince Sep 1, 2022 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

5660 W Cortaro Farms Rd
Ste 108
Tucson, AZ 85742
Phone (520) 462-6167

6261 N La Cholla Blvd
Ste 211
Tucson, AZ 85741
Phone (520) 229-3300

3155 North Point Pkwy
Ste D100
Alpharetta, GA 30005
Phone (770) 475-7272

145 Forest Blvd
Ste 200
Dawsonville, GA 30534
Phone (706) 203-2100

225 Adams Dr
Ste D
Demorest, GA 30535
Phone (706) 754-3067

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

100 Needham St
#2
Newton, MA 02464
Phone (781) 444-5141

100 Needham St
Newton Upper Falls, MA 02464

514 Saint James Ave
Unit G
Goose Creek, SC 29445
Phone (843) 642-8660

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1578286191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ADAMS DR STE D",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354578",
            "telephone_number": "706-754-3167",
            "fax_number": "706-754-3169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7378 Friendship Springs Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Flowery Branch",
            "state": "GA",
            "postal_code": "305425547",
            "country_code": "US",
            "telephone_number": "678-318-8030",
            "fax_number": "678-318-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Forest Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305347878",
            "country_code": "US",
            "telephone_number": "706-203-2100",
            "fax_number": "706-203-2105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016110",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL88911",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP049712T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.