Active NPI
Emma Grace Stanbery
- Physical Therapist
- Pilot Mountain, NC
National Provider Identifier
1992432900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- A7929
- Practice address
- 106 N Key St
Pilot Mountain, NC 27041-7587 - Phone
- (336) 444-4006
- NPI assigned
- Aug 1, 2022
- Last updated
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | A7929 | NC | Primary |
Addresses
Primary practice location
106 N Key St
Pilot Mountain, NC 27041-7587
Mailing address
1130D Snow Bridge LN
Kernersville, NC 27284-8411
Phone (336) 904-0467
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 |
|---|---|---|---|
| A7929 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Propel Pediatric Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Kernersville, NC
- NPI 1023569464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1992432900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130D SNOW BRIDGE LN",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848411",
"telephone_number": "336-904-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N KEY ST",
"city": "PILOT MOUNTAIN",
"state": "NC",
"postal_code": "270417587",
"telephone_number": "336-444-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANBERY",
"first_name": "EMMA",
"middle_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "A7929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pilot Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.