Active NPI
Emily Elizabeth Starks, PTA
- Physical Therapy Assistant
- Perry, FL
National Provider Identifier
1588936827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 22620
- Practice address
- 207 Marshall Dr
Perry, FL 32347-1835 - Phone
- (850) 584-6334
- NPI assigned
- Feb 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 22620 | FL | Primary |
Addresses
Primary practice location
207 Marshall Dr
Perry, FL 32347-1835
Mailing address
2231 Mel Margo Ave NE Apt 1204
Live Oak, FL 32064-4850
Phone (386) 688-1095
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22620 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1588936827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 MEL MARGO AVE NE APT 1204",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320644850",
"telephone_number": "386-688-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 MARSHALL DR",
"city": "PERRY",
"state": "FL",
"postal_code": "323471835",
"telephone_number": "850-584-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKS",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "22620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.