Active NPI
Emilyne Sis
- Physical Therapist
- Curtis, NE
National Provider Identifier
1700543998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4108
- Practice address
- 302 Center Ave
Curtis, NE 69025-3014 - Phone
- (308) 367-4885
- NPI assigned
- Nov 22, 2021
- 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 | 4108 | NE | Primary |
Addresses
Primary practice location
302 Center Ave
Curtis, NE 69025-3014
Mailing address
PO Box 789
MC Cook, NE 69001-0789
Other names 1
- Emilyne Nichols
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4108 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1700543998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 789",
"city": "MC COOK",
"state": "NE",
"postal_code": "690010789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 CENTER AVE",
"city": "CURTIS",
"state": "NE",
"postal_code": "690253014",
"telephone_number": "308-367-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIS",
"first_name": "EMILYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILYNE",
"last_name": "NICHOLS",
"credential": "DPT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Curtis, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.