Active NPI
Emily C Pankovits, DPT
- Physical Therapist
- Branson, MO
National Provider Identifier
1720569825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2013028570
- Practice address
- 670 Branson Landing Blvd Ste 2
Branson, MO 65616-2063 - Phone
- (417) 332-2990
- NPI assigned
- Aug 27, 2018
- 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 | 2013028570 | MO | Primary |
Addresses
Primary practice location
670 Branson Landing Blvd Ste 2
Branson, MO 65616-2063
Mailing address
670 Branson Landing Blvd Ste 2
Branson, MO 65616-2063
Phone (417) 332-2990
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 |
|---|---|---|---|
| 2013028570 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1720569825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 BRANSON LANDING BLVD STE 2",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162063",
"telephone_number": "417-332-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 BRANSON LANDING BLVD STE 2",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162063",
"telephone_number": "417-332-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANKOVITS",
"first_name": "EMILY",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2013028570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.