Individual provider Active NPI

Emma Fairchild

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1700719184
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-08149 Issued in KS
Practice address
4801 W 110TH St
Overland Park, KS 66211-1347
Phone
(816) 246-1456
NPI assigned
Jun 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 11-08149 KS Primary

Addresses

Primary practice location

4801 W 110TH St
Overland Park, KS 66211-1347

Mailing address

5101 College Blvd
Overland Park, KS 66211-1614
Phone (913) 721-3387

Other practice location 1

4900 S Arrowhead Dr Ste B
Independence, MO 64055-6990
Phone (816) 478-4200

Other practice location 2

123 NE 91st St
Kansas City, MO 64155-3329
Phone (816) 478-4200

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address emma.fairchild.1@12752.direct.athenahealth.com Direct
Direct Messaging Address emma.fairchild.1@12752.direct.athenahealth.com Direct
Direct Messaging Address emma.fairchild.1@12752.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625002988 KS Practitioner - Physical Therapist in Private Practice 4880167345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5101 College Blvd
Leawood, KS 66211-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-08149KSMDPhysical Therapist

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": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1700719184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111347",
            "telephone_number": "816-246-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 S Arrowhead Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640556990",
            "country_code": "US",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 NE 91st St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641553329",
            "country_code": "US",
            "telephone_number": "816-478-4200",
            "fax_number": "813-875-2597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-08149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emma.fairchild.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4801 W 110th St",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emma.fairchild.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4900 S Arrowhead Dr Ste B",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640556990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emma.fairchild.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "123 NE 91st St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641553329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.