Individual provider Active NPI

Charlotte A Emerson, CPTA

  • Physical Therapy Assistant
  • Osborne, KS
National Provider Identifier
1891002390
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-00405 Issued in KS
Practice address
811 N 1St St
Osborne, KS 67473-1512
Phone
(785) 346-2114
Fax
(785) 346-2222
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-00405 KS Primary

Addresses

Primary practice location

811 N 1St St
Osborne, KS 67473-1512

Mailing address

211 E Jefferson St
Osborne, KS 67473-1802
Phone (785) 945-4007

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

LicenseStateTypeSpecialty
14-00405KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1891002390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E JEFFERSON ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674731802",
            "telephone_number": "785-945-4007",
            "fax_number": "785-346-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N 1ST ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674731512",
            "telephone_number": "785-346-2114",
            "fax_number": "785-346-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "CHARLOTTE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-00405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osborne, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.