Individual provider Active NPI

Demetra Ann Emerson, MSPT

  • Physical Therapist
  • Morrisville, NC
National Provider Identifier
1871509430
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10315 Issued in NC
Practice address
6406 McCrimmon Pkwy
Suite 250
Morrisville, NC 27560
Phone
(919) 467-4558
Fax
(919) 467-4558
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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 10315 NC Primary

Addresses

Primary practice location

6406 McCrimmon Pkwy
Suite 250
Morrisville, NC 27560

Mailing address

6406 McCrimmon Pkwy
Suite 250
Morrisville, NC 27560
Phone (919) 467-4558

Other identifiers 3

IdentifierTypeStateIssuer
E87M80OtherNCACN MPN UHC
079WJOtherNCBCBS
828885OtherNCACN MPN UHC

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

State licenses

LicenseStateTypeSpecialty
10315NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson & Anghie LLC Physical Therapist Past Accepting new patients
Strive Physical Therapy & Fitness, Inc. Physical Therapist Past Accepting new patients
Bayada Home Health Care, Inc. PastSince Apr 19, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1871509430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 MCCRIMMON PKWY",
            "address_2": "SUITE 250",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "27560",
            "telephone_number": "919-467-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 MCCRIMMON PKWY",
            "address_2": "SUITE 250",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "27560",
            "telephone_number": "919-467-4558",
            "fax_number": "919-467-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "DEMETRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN MPN UHC",
            "identifier": "E87M80",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "079WJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN MPN UHC",
            "identifier": "828885",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.