Active NPI
Emily Earle, PT, DPT
- Physical Therapist
- Southport, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19216
- Practice address
- 4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069 - Phone
- (910) 477-6236
- Fax
- (910) 477-6357
- NPI assigned
- Oct 31, 2019
- Last updated
- Dec 2, 2022
- 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 | P19216 | NC | Primary |
Addresses
Primary practice location
4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069
Mailing address
292 Commerce Ave
Southern Pines, NC 28387-7059
Phone (910) 757-0408
Other practice location 1
292 Commerce Ave
Southern Pines, NC 28387-7059
Phone (910) 757-0408
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Sports and Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
292 Commerce Ave
Southern Pnes, NC 28387
Phone (910) 757-0408
4002 Executive Park Blvd
Ste 800
Southport, NC 28461
Phone (910) 357-5748
1630 Military Cutoff Rd
Ste 110
Wilmington, NC 28403
Phone (910) 798-2318
Organizations & group practices 2
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.
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
-
- Physical Therapist
- New Bern, NC
- NPI 1194714063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1750925848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 COMMERCE AVE",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283877059",
"telephone_number": "910-757-0408",
"fax_number": "910-757-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 EXECUTIVE PARK BLVD STE 800",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284619069",
"telephone_number": "910-477-6236",
"fax_number": "910-477-6357"
}
],
"practiceLocations": [
{
"address_1": "292 Commerce Ave",
"address_purpose": "LOCATION",
"city": "Southern Pines",
"state": "NC",
"postal_code": "283877059",
"country_code": "US",
"telephone_number": "910-757-0408",
"fax_number": "910-757-0413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EARLE",
"first_name": "EMILY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2022-12-02",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.