Active NPI
Emily Ciabattoni, DPT
- Physical Therapist
- Kingsley, MI
National Provider Identifier
1770118077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018097
- Practice address
- 4040 Beacon St
Kingsley, MI 49649-9548 - Phone
- (231) 263-1350
- NPI assigned
- Mar 6, 2020
- 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 | 5501018097 | MI | Primary |
Addresses
Primary practice location
4040 Beacon St
Kingsley, MI 49649-9548
Mailing address
4040 Beacon St
Kingsley, MI 49649-9548
Phone (231) 263-1350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501018097 | Other | MI | BOARD OF PHYSICAL THERAPY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ewolf@lighthouserehab.com | Direct |
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 |
|---|---|---|---|
| 5501018097 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Caro, MI
- NPI 1770661092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1770118077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 BEACON ST",
"city": "KINGSLEY",
"state": "MI",
"postal_code": "496499548",
"telephone_number": "231-263-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 BEACON ST",
"city": "KINGSLEY",
"state": "MI",
"postal_code": "496499548",
"telephone_number": "231-263-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIABATTONI",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-06",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHYSICAL THERAPY",
"identifier": "5501018097",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ewolf@lighthouserehab.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4040 Beacon St",
"city": "Kingsley",
"state": "MI",
"country_code": "US",
"postal_code": "496499548",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kingsley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.