Active NPI
Emily Kathleen Weatherly, DPT
- Physical Therapist
- Warm Springs, GA
National Provider Identifier
1891000196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010010
- Practice address
- 6391 Roosevelt Hwy
Warm Springs, GA 31830-2281 - Phone
- (706) 655-5636
- NPI assigned
- Aug 11, 2010
- Last updated
- Sep 10, 2023
- 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 | PT010010 | GA | Primary |
Addresses
Primary practice location
6391 Roosevelt Hwy
Warm Springs, GA 31830-2281
Mailing address
Rwsir P.O Box 1000
Box 400
Warm Springs, GA 31830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010010 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Select Outpatient Services Inc | Physical Therapist | Past | Accepting new patients |
Locations
150 Cottage Ln
Carrollton, GA 30117
Phone (770) 830-8857
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.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
GA, Physical Therapist
-
- Rehabilitation Clinic/Center
- Newcastle, WA
- NPI 1285909531
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694304000000",
"number": "1891000196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RWSIR P.O BOX 1000",
"address_2": "BOX 400",
"city": "WARM SPRINGS",
"state": "GA",
"postal_code": "31830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6391 ROOSEVELT HWY",
"city": "WARM SPRINGS",
"state": "GA",
"postal_code": "318302281",
"telephone_number": "706-655-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERLY",
"first_name": "EMILY",
"middle_name": "KATHLEEN",
"name_prefix": "Miss",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2023-09-10",
"certification_date": "2023-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warm Springs, GA
- Michael Donald Tilmann, DDS
- Total Renal Care Inc (Meriwether Greenville Dialysis)
- Paige Lee Trone, COTAL
- United Home Care of South Atlanta, Inc. (United Home Care of Warm Springs)
- Christie C Waddell, RRT,RCP
- Wellstar MCG Health Warm Springs, Inc. (Wellstar Long Term Acute Care at Warm Springs)
- Wellstar MCG Health Warm Springs, Inc. (Roosevelt Warm Springs Rehabilitation Hospital)
- Wellstar MCG Health Warm Springs, Inc.
- Shermisha Shervette Williams, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.