Individual provider Active NPI

Emma Lynn Woodbury

  • Physical Therapy Assistant
  • Dewitt, MI
National Provider Identifier
1649158676
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502008748 Issued in MI
Practice address
13105 Schavey Rd Ste 5
Dewitt, MI 48820
Phone
(517) 853-6800
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502008748 MI Primary

Addresses

Primary practice location

13105 Schavey Rd Ste 5
Dewitt, MI 48820

Mailing address

7748 W. Henderson Road
Elsie, MI 48831
Phone (989) 640-4729

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

LicenseStateTypeSpecialty
5502008748MIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy, PLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

13105 Schavey Rd
Ste 5
Dewitt, MI 48820
Phone (517) 669-4233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1649158676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7748 W. HENDERSON ROAD",
            "city": "ELSIE",
            "state": "MI",
            "postal_code": "48831",
            "telephone_number": "989-640-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13105 SCHAVEY RD STE 5",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "48820",
            "telephone_number": "517-853-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURY",
        "first_name": "EMMA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.