Louis John Emen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA19230 Issued in FL

Practice address

1747 Evans Rd
Melbourne, FL 32904-3869

Phone

(321) 768-6119

NPI assigned

Oct 14, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1588035752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 STEWART RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354230",
            "telephone_number": "321-514-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 EVANS RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043869",
            "telephone_number": "321-768-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMEN",
        "first_name": "LOUIS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lee Ellison, ARNP
• Samanta Elmer
• Amber Elmore, APRN
• Richard T Elmore Jr., PHD
• Michael Kyle Ely
• Emeritus Properties NGH, LLC
• Amanda M Emerson, DNP
• Olga Dorjima Emgushov, MD,MPH
• Emily Kelly MD PLLC
• Priyanka Sophie Emmons, MMT, MT-BC

• Physical Therapy Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.