Active NPI
Emily Christine Zaragoza, DPT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1942735311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1369237
- Practice address
- 1101 W Vickery Blvd
Fort Worth, TX 76104-1025 - Phone
- (682) 885-6294
- Fax
- (682) 885-1135
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4920 | NM | |
| Physical Therapist | 225100000X | 1369237 | TX | Primary |
Addresses
Primary practice location
1101 W Vickery Blvd
Fort Worth, TX 76104-1025
Mailing address
PO Box 99283
Fort Worth, TX 76199-1383
Phone (682) 885-6294
Other practice location 1
186 E Golf Rd
Schaumburg, IL 60173-3726
Phone (847) 598-0392
Other practice location 2
100 E Manana Blvd Ste 1
Clovis, NM 88101-3503
Phone (575) 366-5014
Other practice location 3
208 W D L Ingram Blvd
Cannon AFB, NM 88103-5103
Phone (575) 784-7773
Other names 1
- Miss Emily Christine Fetner
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4920 | NM | MD | Physical Therapist |
| 1369237 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Therapies Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Clovis, NM
- NPI 1952793648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1942735311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99283",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761991383",
"telephone_number": "682-885-6294",
"fax_number": "682-885-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W VICKERY BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761041025",
"telephone_number": "682-885-6294",
"fax_number": "682-885-1135"
}
],
"practiceLocations": [
{
"address_1": "186 E Golf Rd",
"address_purpose": "LOCATION",
"city": "Schaumburg",
"state": "IL",
"postal_code": "601733726",
"country_code": "US",
"telephone_number": "847-598-0392",
"fax_number": "847-598-0393",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Manana Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "881013503",
"country_code": "US",
"telephone_number": "575-366-5014",
"fax_number": "575-366-5015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 W D L Ingram Blvd",
"address_purpose": "LOCATION",
"city": "Cannon AFB",
"state": "NM",
"postal_code": "881035103",
"country_code": "US",
"telephone_number": "575-784-7773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZARAGOZA",
"first_name": "EMILY",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4920",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1369237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "FETNER",
"middle_name": "CHRISTINE",
"prefix": "MISS",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.