Individual provider Active NPI

Emma Siu, PT, DPT

  • Physical Therapist
  • Coronado, CA
National Provider Identifier
1588434278
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
120 C Ave
Coronado, CA 92118-1979
Phone
(858) 225-7222
NPI assigned
Jan 4, 2024
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 CA Primary

Addresses

Primary practice location

120 C Ave
Coronado, CA 92118-1979

Mailing address

120 C Ave
Coronado, CA 92118-1979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301000102 CA Practitioner - Physical Therapist in Private Practice 0547605404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auto-Ness Physical TherapyGroup PAC ID 3870984487, 6 clinicians

Practice addresses (Care Compare)

10625 Scripps Ranch Blvd
Suite C
San Diego, CA 92131-1012
Phone (858) 324-5537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Auto-Ness Physical Therapy Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Downtown Water and Sports Physical Therapist CurrentSince Jan 7, 2024 Accepting new patients
Water and Sports Physical Therapy, Inc Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Water and Sports Physical Therapy Past Accepting new patients

Locations

10095 Scripps Ranch Ct
Ste B
San Diego, CA 92131
Phone (858) 324-5537

10300 Campus Point Dr
San Diego, CA 92121
Phone (858) 227-9707

10625 Scripps Ranch Blvd
Ste C
San Diego, CA 92131
Phone (858) 324-5537

3639 Midway Dr
#B286
San Diego, CA 92110

501 W Broadway
San Diego, CA 92101
Phone (619) 237-9027

Organizations & group practices 4

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": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1588434278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 C AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 C AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181979",
            "telephone_number": "858-225-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIU",
        "first_name": "EMMA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.