Individual provider Active NPI

Emily Ledyard, DPT

  • Physical Therapist
  • Shallotte, NC
National Provider Identifier
1699540443
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P25072 Issued in NC
Practice address
4501 Main St Ste 5
Shallotte, NC 28470-4585
Phone
(910) 755-5863
Fax
(910) 755-5864
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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 P25072 NC Primary

Addresses

Primary practice location

4501 Main St Ste 5
Shallotte, NC 28470-4585

Mailing address

4501 Main St Ste 5
Shallotte, NC 28470-4585
Phone (910) 755-5863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250514003350 PA Practitioner - Physical Therapist in Private Practice 3870011778 Reassigns benefits to 1 organization
I20250915002411 MA Practitioner - Physical Therapist in Private Practice 3870011778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DG Physical Therapy PCGroup PAC ID 0143503680, 42 clinicians

Practice addresses (Care Compare)

73 Canal St
Millbury, MA 01527-3253
Phone (508) 581-8703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT031549PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems of McMurray Current Accepting new patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
Keystone Rehabilitation Systems of McMurray CurrentSince Apr 10, 2025 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Aug 20, 2025 Accepting new patients
DG Physical Therapy PC CurrentSince Aug 20, 2025 Accepting new patients
Carolina Rehabilitation Inc Physical Therapist PastSince Aug 1, 2004 Accepting new patients
The Rehab Center PastSince Apr 6, 2025 Accepting new patients
Active Physical Therapy Services, LLC Physical Therapist PastSince Nov 1, 2023 Accepting new patients
Thomas Speech Therapy Services PLLC PastSince May 2, 2020 Accepting new patients

Locations

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

73 Canal St
Millbury, MA 01527
Phone (508) 581-8703

80 Worcester St
Ste 4
North Grafton, MA 01536
Phone (508) 887-8828

250 University Ave
Rm 103
California, PA 15419
Phone (724) 938-5806

250 University Ave
California, PA 15419
Phone (724) 938-4000

Organizations & group practices 9

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1699540443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MAIN ST STE 5",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704585",
            "telephone_number": "910-755-5863",
            "fax_number": "910-755-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MAIN ST STE 5",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704585",
            "telephone_number": "910-755-5863",
            "fax_number": "910-755-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDYARD",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P25072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.