Active NPI
Emmarisa Everett
- Physical Therapy Assistant
- Houston, TX
National Provider Identifier
1801331780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2175395
- Practice address
- 19255 Park Row Ste 105
Houston, TX 77084-7310 - Phone
- (346) 333-2794
- NPI assigned
- Dec 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA6022 | MS | |
| Physical Therapy Assistant | 225200000X | 2175395 | TX | Primary |
Addresses
Primary practice location
19255 Park Row Ste 105
Houston, TX 77084-7310
Mailing address
PO Box 1932
Laurel, MS 39441-1932
Phone (601) 470-9255
Other practice location 1
4109 Highway 98 W
Summit, MS 39666-9132
Phone (601) 276-3900
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 |
|---|---|---|---|
| PTA6022 | MS | MD | Physical Therapy Assistant |
| 2175395 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1801331780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1932",
"city": "LAUREL",
"state": "MS",
"postal_code": "394411932",
"telephone_number": "601-470-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19255 PARK ROW STE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770847310",
"telephone_number": "346-333-2794"
}
],
"practiceLocations": [
{
"address_1": "4109 Highway 98 W",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "MS",
"postal_code": "396669132",
"country_code": "US",
"telephone_number": "601-276-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVERETT",
"first_name": "EMMARISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-30",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "PTA6022",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2175395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.