Individual provider Active NPI

Emily Christine Zaragoza, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1942735311
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1369237 Issued in TX
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

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
4920NMMDPhysical Therapist
1369237TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.