Patricia Ann Emmons, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6335 Issued in ME

Practice address

4110 Mystic Valley Pkwy Ste 12
Medford, MA 02155-6931

Phone

(781) 960-6030

Fax

(781) 350-3060

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Rehabilitation of Western New England LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD
• Performance Rehabilitation of Western New England LLC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  NPD
• Performance Rehabilitation of Western New England LLC

  • Occupational Therapist
  • East Longmeadow, MA
  • NPI 1740345818

  Physical Therapist

  NPD
• Carl Gustafson LLC

  • Physical Therapist
  • Wellesley, MA
  • NPI 1356366082
  NPD (past)

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1992429716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 MYSTIC VALLEY PKWY STE 12",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556931",
            "telephone_number": "781-960-6030",
            "fax_number": "781-350-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Central Maine Medical /Center",
            "address_2": "300 Main Street",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "04240",
            "country_code": "US",
            "telephone_number": "774-212-3967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saeid Elmi, M.D.
• Lovely Eloiseau
• Omar Elsweesy
• Embolden Physical Therapy
• Eminent Eye Care LLC
• Empower Therapy LLC
• Empoweru Therapy Services LLC
• Douglas Walter Eng, EDD
• Erin Dowd LLC
• Linda Shane Escoll, PSY. D.

• Physical Therapist in Medford, MA
• Providers in Medford, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.