Emma Dwyer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25308 Issued in MA

Practice address

45 Dimock St
Roxbury, MA 02119-1208

Phone

(617) 445-0647

Fax

(617) 427-0403

NPI assigned

Apr 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, FL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Beach Orthopaedic Institute PAGroup PAC ID 0547153389, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emma.dwyer.1@13081.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4

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.

• Palm Beach Orthopaedic Institute PA

  • Orthopaedic Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1184796245
  Medicare reassignment Care Compare group NPD
• Pelvic Health Solutions LLC

  • Physical Therapy Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1407317811

  Physical Therapist

  Medicare reassignment NPD
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Franklin, MA
  • NPI 1821108549
  NPD
• Palm Beach Orthopaedic Institute PA

  • Non-Pharmacy Dispensing Site
  • West Palm Beach, FL
  • NPI 1568882363
  NPD

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1912526393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DIMOCK ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191208",
            "telephone_number": "617-445-0647",
            "fax_number": "617-427-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1537 NE Cedar St",
            "address_purpose": "LOCATION",
            "city": "Jensen Beach",
            "state": "FL",
            "postal_code": "349574808",
            "country_code": "US",
            "telephone_number": "772-208-5071",
            "fax_number": "772-261-2108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "EMMA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35181",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marilyn Duniec-Vergakis, LICSW
• Otto Dunker, PT
• Shannelle Pamela Dunn
• Lisa Dupree, STUDENT
• Emily Durgin
• David Eddings
• Danielle Sharon Ederi
• Linda M Edge
• Ketura'H R Edwards-Robinson, NP
• Michelle Lee Edwards, LCSW

• Physical Therapist in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.