Individual provider Active NPI

Emily Ann Fonke, PT, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1982291126
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20101 Issued in NC
Practice address
1520 Sunday Dr Ste 105
Raleigh, NC 27607-5254
Phone
(919) 420-1682
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P20101 NC
Physical Therapist 225100000X P20101 NC Primary

Addresses

Primary practice location

1520 Sunday Dr Ste 105
Raleigh, NC 27607-5254

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Other practice location 1

570 New Waverly Pl Ste 120
Cary, NC 27518-7405
Phone (919) 803-3398

Other practice location 2

2121 E Williams St Ste 108
Apex, NC 27539-7765
Phone (919) 372-8412

Other names 1

  • Emily Ann Fonke-Fritz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210416000731 NC Practitioner - Physical Therapist in Private Practice 1254749096 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
North Carolina Institute of Sports Biomechanics, LLC CurrentSince Jul 2, 2014 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2121 E Williams St
Ste 108
Apex, NC 27539
Phone (919) 372-8412

570 New Waverly Pl
Ste 120
Cary, NC 27518
Phone (919) 372-8412

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

Organizations & group practices 4

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1982291126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075254",
            "telephone_number": "919-420-1682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 New Waverly Pl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187405",
            "country_code": "US",
            "telephone_number": "919-803-3398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 E Williams St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275397765",
            "country_code": "US",
            "telephone_number": "919-372-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONKE",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P20101",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "FONKE-FRITZ",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.