Individual provider Active NPI

Emily Elizabeth Carper, PT DPT

  • Physical Therapist
  • Hemet, CA
National Provider Identifier
1619523693
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297181 Issued in CA
Practice address
3989 W Stetson Ave Ste 105
Hemet, CA 92545-9697
Phone
(951) 652-3334
Fax
(951) 652-3335
NPI assigned
Aug 14, 2019
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 297181 CA Primary

Addresses

Primary practice location

3989 W Stetson Ave Ste 105
Hemet, CA 92545-9697

Mailing address

44105 Big Sky Way
Temecula, CA 92590-3350
Phone (951) 314-2678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190913001521 CA Practitioner - Physical Therapist in Private Practice 4486983699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Family Physical Therapy IncGroup PAC ID 0143328997, 5 clinicians

Practice addresses (Care Compare)

2231 Douglas Blvd
Suite 100
Roseville, CA 95661-4264
Phone (916) 778-7321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297181CAMDPhysical Therapist

Organizations & group practices 1

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1619523693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44105 BIG SKY WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903350",
            "telephone_number": "951-314-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 W STETSON AVE STE 105",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459697",
            "telephone_number": "951-652-3334",
            "fax_number": "951-652-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPER",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.