Emika Embrack, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22690 Issued in MD

Practice address

11325 Pembrooke SQ
Suite 115
Waldorf, MD 20603-4807

Phone

(301) 719-2555

NPI assigned

Dec 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapeutic Sessions Corporation

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1851687214

  Physical Therapist

  Medicare reassignment NPD
• Therapeutic Sessions Corporation

  • Physical Therapist
  • Washington, DC
  • NPI 1770909970
  NPD

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1598900219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "SUITE 701",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354220",
            "telephone_number": "301-856-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 PEMBROOKE SQ",
            "address_2": "SUITE 115",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034807",
            "telephone_number": "301-719-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBRACK",
        "first_name": "EMIKA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS MARYLAND",
            "identifier": "94834201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC MEDICARE PTAN",
            "identifier": "166204YZW",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS NCA",
            "identifier": "46950036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE",
            "identifier": "22690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Laverne Elliott
• Karim Elrafei, D.D.S
• Rhammi Elshazli, OD
• Alisa Elsner
• Embracing Change Counseling & Mentoring Services, Inc.
• Emmanuel Staffing LLC
• Empowerment Counseling & Training Services, LLC
• Empowerment Counseling Resource Group LLP
• Empressive Logistics LLC
• Endoscopic Associates of Waldorf PA

• Physical Therapist in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.