Emily Marie Frederick, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017507 Issued in GA

Practice address

817 Crawford Ave
Augusta, GA 30904-3772

Phone

(706) 736-1255

Fax

(706) 736-1258

NPI assigned

Dec 28, 2024

Last updated

Dec 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuro-Developmental Treatment Programs, Inc.Group PAC ID 5092971242, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neuro-Developmental Treatment Programs, Inc.

  dba NDT Programs

  • Occupational Therapist
  • Augusta, GA
  • NPI 1417924036

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1720896327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 HITCHING POST LN",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224913",
            "telephone_number": "423-838-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CRAWFORD AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043772",
            "telephone_number": "706-736-1255",
            "fax_number": "706-736-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-28",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Moon Franks, PA-C
• Kretika Landells Fraser
• Geodora A Frazey, MSN, CCRN
• Kevin Bradley Frazier, DMD, ED.S
• Merika Frazier
• John Thomas Frederick, M.D.
• Armani Fredrick
• Murray A Freedman, MD
• Heather Freegard, LCSW
• Allison Leigh Freeman, APRN

• Physical Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.