Individual provider Active NPI

Emily Earle, PT, DPT

  • Physical Therapist
  • Southport, NC
National Provider Identifier
1750925848
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19216 Issued in NC
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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 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

OrganizationSpecialtyStatusNew patients
Peak Performance Sports and Physical Therapy, LLC Physical Therapist CurrentSince Oct 27, 2024 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Aug 25, 2025 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.

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.

Verify at the official NPI Registry.