Active NPI
Ann Enid Emmerich, PT
- Physical Therapist
- Sturgeon Bay, WI
National Provider Identifier
1770533770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1954
- Practice address
- 511 N 3Rd Street
Ste 5
Sturgeon Bay, WI 54235-2323 - Phone
- (920) 743-0255
- Fax
- (920) 743-0258
- NPI assigned
- May 11, 2006
- 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 | 1954 | WI | Primary |
Addresses
Primary practice location
511 N 3Rd Street
Ste 5
Sturgeon Bay, WI 54235-2323
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1770533770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N 3RD STREET",
"address_2": "STE 5",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542352323",
"telephone_number": "920-743-0255",
"fax_number": "920-743-0258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMERICH",
"first_name": "ANN",
"middle_name": "ENID",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.