Individual provider Active NPI

Emily Katherine Surgeoner, DPT

  • Sports Physical Therapist
  • Katy, TX
National Provider Identifier
1922798776
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Practice address
23910 Katy Fwy
Katy, TX 77494-1395
Phone
(281) 500-6100
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X TX Primary

Addresses

Primary practice location

23910 Katy Fwy
Katy, TX 77494-1395

Mailing address

2111 Autumn Cove Cir
Fleming Island, FL 32003-3231
Phone (904) 524-1487

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

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1922798776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 AUTUMN COVE CIR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033231",
            "telephone_number": "904-524-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23910 KATY FWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941395",
            "telephone_number": "281-500-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURGEONER",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.