Active NPI
Phyllis R. Emanuel, PHYSICAL THERAPIST
- Specialist
- Walnut Creek, CA
National Provider Identifier
1982777066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT7518
- Practice address
- 3075 Citrus Cir
Walnut Creek, CA 94598-2666 - Phone
- (925) 930-6680
- Fax
- (925) 930-7867
- NPI assigned
- Nov 16, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT7518 | CA | Primary |
Addresses
Primary practice location
3075 Citrus Cir
Walnut Creek, CA 94598-2666
Mailing address
783 Hilldale Ave
Berkeley, CA 94708-1317
Phone (510) 527-4374
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7518 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982777066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "783 HILLDALE AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947081317",
"telephone_number": "510-527-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 CITRUS CIR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982666",
"telephone_number": "925-930-6680",
"fax_number": "925-930-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMANUEL",
"first_name": "PHYLLIS",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT7518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.