Individual provider Active NPI

Emily Elise Brackett, PT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1730555871
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012020 Issued in GA
Practice address
5500 Chamblee Dunwoody Rd
Ste 5B
Atlanta, GA 30338-4165
Phone
(678) 981-6290
Fax
(678) 981-6291
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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 PT012020 GA Primary

Addresses

Primary practice location

5500 Chamblee Dunwoody Rd
Ste 5B
Atlanta, GA 30338-4165

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907002675 NC Practitioner - Physical Therapist in Private Practice 6406165240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10020 Monroe Rd
Suite 160
Matthews, NC 28105-5492
Phone (704) 841-0894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Hand Specialist, LLC CurrentSince Jul 5, 2017 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 5, 2017 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jul 5, 2017 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Jul 5, 2017 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2230 Park Rd
Ste 104
Charlotte, NC 28203
Phone (704) 919-1280

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8930

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1730555871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 CHAMBLEE DUNWOODY RD",
            "address_2": "STE 5B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384165",
            "telephone_number": "678-981-6290",
            "fax_number": "678-981-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "EMILY",
        "middle_name": "ELISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.