Organization Active NPI

Emphysicaltherapy.LLC

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1942025143
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EMPHYSICALTHERAPY.LLC
Doing business as
Emphysicaltherapy.LLC
Practice address
444 Bethesda Church Rd
Lawrenceville, GA 30044-4249
Phone
(375) 377-0921
NPI assigned
Nov 21, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Emily D Watters, PT, DPT
Title
Doctor of Physical Therapy
Phone
(770) 403-0637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

444 Bethesda Church Rd
Lawrenceville, GA 30044-4249

Mailing address

64 Shadow Lake Dr SW
Lilburn, GA 30047-2915
Phone (770) 403-0637

Other names 1

  • Emphysicaltherapy.LLC Doing business as

National Provider Directory

National Provider Directory

Locations

444 Bethesda Church Rd
Lawrenceville, GA 30044
Phone (375) 377-0921

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1942025143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SHADOW LAKE DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472915",
            "telephone_number": "770-403-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 BETHESDA CHURCH RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444249",
            "telephone_number": "375-377-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPHYSICALTHERAPY.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "770-403-0637",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emphysicaltherapy.LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.