Active NPI
Andrea Marcy Emmett, DPT
- Physical Therapist
- Midwest City, OK
National Provider Identifier
1962672600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3982
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200134940A | Medicaid | OK | |
| 320092579 | Other | OK | TRICARE |
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 |
|---|---|---|---|
| 2358 | NE | MD | Otolaryngology Physician |
| 3982 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornelson Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Regional Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Specialized Physical Therapy PC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1831716968
-
- Physical Therapist
- Midwest City, OK
- NPI 1336167204
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1699747972
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.