Active NPI
Emily Brianna Wootton, PT, DPT
- Physical Therapist
- Shenandoah, TX
National Provider Identifier
1700495728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1333912
- Practice address
- 920 Medical Plaza Dr Ste 270
Shenandoah, TX 77380-3259 - Phone
- (713) 797-5942
- NPI assigned
- Jul 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1333912 | TX | Primary |
Addresses
Primary practice location
920 Medical Plaza Dr Ste 270
Shenandoah, TX 77380-3259
Mailing address
18842 Fox Kestrel TRL
Cypress, TX 77429-6770
Phone (832) 286-8991
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brianna.wootton@colehealth.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1333912 | TX | MD | Physical Therapist |
Interoperability endpoints
- https://api.platform.athenahealth.com/26581/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1700495728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18842 FOX KESTREL TRL",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774296770",
"telephone_number": "832-286-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MEDICAL PLAZA DR STE 270",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803259",
"telephone_number": "713-797-5942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTTON",
"first_name": "EMILY",
"middle_name": "BRIANNA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1333912",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brianna.wootton@colehealth.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "19411 McKay Dr",
"city": "Humble",
"state": "TX",
"country_code": "US",
"postal_code": "773385713",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.