Active NPI
Emma Kiesling
- Physical Therapist
- Troy, IL
National Provider Identifier
1780193516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023336
- Practice address
- 300 Edwardsville Rd Ste 1
Troy, IL 62294-1437 - Phone
- (618) 667-3900
- Fax
- (618) 667-3910
- NPI assigned
- Sep 25, 2017
- 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 | 070023336 | IL | Primary |
Addresses
Primary practice location
300 Edwardsville Rd Ste 1
Troy, IL 62294-1437
Mailing address
300 Edwardsville Rd Ste 1
Troy, IL 62294-1437
Phone (618) 667-3900
Other names 1
- Emma Brown
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": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1780193516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 EDWARDSVILLE RD STE 1",
"city": "TROY",
"state": "IL",
"postal_code": "622941437",
"telephone_number": "618-667-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EDWARDSVILLE RD STE 1",
"city": "TROY",
"state": "IL",
"postal_code": "622941437",
"telephone_number": "618-667-3900",
"fax_number": "618-667-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESLING",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-25",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMMA",
"last_name": "BROWN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Troy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.