Individual provider Active NPI

Emma Glenn Nelson, PT, DPT

  • Physical Therapist
  • Queensbury, NY
National Provider Identifier
1851116446
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053410 Issued in NY
Practice address
13 Baywood Dr
Queensbury, NY 12804-5822
Phone
(518) 761-0850
Fax
(518) 745-1351
NPI assigned
Nov 19, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 053410 NY Primary

Addresses

Primary practice location

13 Baywood Dr
Queensbury, NY 12804-5822

Mailing address

13 Baywood Dr
Queensbury, NY 12804-5822
Phone (518) 761-0850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411001131 NY Practitioner - Physical Therapist in Private Practice 7416471495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Peak Physical Therapy PCGroup PAC ID 3678832235, 5 clinicians

Practice addresses (Care Compare)

13 Baywood Dr
Queensbury, NY 12804-5822
Phone (518) 761-0850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053410NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey J. Foss PT, PC Physical Therapist CurrentSince Nov 24, 2024 Accepting new patients
High Peak Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

13 Baywood Dr
Queensbury, NY 12804
Phone (518) 761-0850

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": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1851116446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BAYWOOD DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045822",
            "telephone_number": "518-761-0850",
            "fax_number": "518-745-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BAYWOOD DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045822",
            "telephone_number": "518-761-0850",
            "fax_number": "518-745-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "EMMA",
        "middle_name": "GLENN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.