Emelia Parker Brogna, DPT

Individual provider Active NPI Physical Therapist · Williston, VT

NPI 1700077633 · NPPES record last updated Sep 20, 2012

Key facts

NPI
1700077633
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
17999 (MA)
Practice address
426 Industrial Ave
Suite 190
Williston, VT 05495-4448
Phone
(806) 860-4360
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
17999MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track, P.C. Physical Therapist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18854/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17999 MA Yes

Addresses

Primary practice location

426 Industrial Ave
Suite 190
Williston, VT 05495-4448

Mailing address

32 Arbor Rd
South Burlington, VT 05403-5748
Phone (603) 457-3044

Other names

  • Dr. Emelia McKendree Parker Former name

Other providers in Williston, VT

All providers in Williston, VT · Physical Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.