Individual provider Active NPI

Andrea Marcy Emmett, DPT

  • Physical Therapist
  • Midwest City, OK
National Provider Identifier
1962672600
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3982 Issued in OK
Practice address
9309 E Reno Ave
Midwest City, OK 73130-3321
Phone
(405) 732-3353
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3982 OK Primary

Addresses

Primary practice location

9309 E Reno Ave
Midwest City, OK 73130-3321

Mailing address

1101 Larchmont LN
Nichols Hills, OK 73116-6101
Phone (308) 293-3916

Other identifiers 2

IdentifierTypeStateIssuer
200134940AMedicaidOK
320092579OtherOKTRICARE

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
2358NEMDOtolaryngology Physician
3982OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornelson Physical Therapy Physical Therapist PastSince Jul 12, 2020 Accepting new patients
Regional Physical Therapy Inc Physical Therapist PastSince Jan 1, 1999 Accepting new patients
Specialized Physical Therapy PC Physical Therapist PastSince Jun 25, 2009 Accepting new patients

Organizations & group practices 3

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": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1962672600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LARCHMONT LN",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731166101",
            "telephone_number": "308-293-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303321",
            "telephone_number": "405-732-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMETT",
        "first_name": "ANDREA",
        "middle_name": "MARCY",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200134940A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "320092579",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.