Andrew L Emerson, PT, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6947 Issued in OR

Practice address

51600 Huntington Rd
Suite B
La Pine, OR 97739-9626

Phone

(541) 536-7443

Fax

(541) 536-7805

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiofitness Solutions LLCGroup PAC ID 5890181648, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Physiofitness Solutions, LLC

  • Physical Therapy Clinic/Center
  • Bend, OR
  • NPI 1033865092
  Medicare reassignment Care Compare group
• Cascade Rehabilitation Associates, PLLC

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1982829438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SW INDUSTRIAL WAY",
            "address_2": "SUITE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021093",
            "telephone_number": "541-585-2529",
            "fax_number": "541-585-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD",
            "address_2": "SUITE B",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977399626",
            "telephone_number": "541-536-7443",
            "fax_number": "541-536-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "ANDREW",
        "middle_name": "L",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500649476",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drug Mart Pharmacy Inc
• Celestine Michelle Dubose
• Kimberly Ann Dudash Rafilson
• Debora Dawn Dufort, PWS
• David Kimlin Dunscombe, DDS
• Brian Taylor Evans, PSYD
• Brenda Jeanne Friend
• Julianna Gentry
• Rachel Gonce
• Graham a Balcer, OD, PC

• Physical Therapist in La Pine, OR
• Providers in La Pine, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.