EMERALD BAY PHYSICAL THERAPY PC
NPI 1275258485
Physical Medicine & Rehabilitation in South Lake Tahoe, CA
About Emerald Bay Physical Therapy Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMERALD BAY PHYSICAL THERAPY PC (NPI 1275258485) is a healthcare organization registered as a physical medicine & rehabilitation in South Lake Tahoe, California and active in the NPI registry since October 2022. The organization lists Stacey A Mullins, Biller/credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emerald Bay Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Emerald Bay Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Emerald Bay Physical Therapy PC's NPI number?
The NPI number for Emerald Bay Physical Therapy PC is 1275258485. It was assigned to this organization in the NPPES registry on October 10, 2022.
Where is Emerald Bay Physical Therapy PC located?
Emerald Bay Physical Therapy PC is located at 812 Emerald Bay Rd, South Lake Tahoe, CA 96150. The listed phone number is (530) 542-2662.
What is Emerald Bay Physical Therapy PC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Emerald Bay Physical Therapy PC enrolled in Medicare?
Yes. Emerald Bay Physical Therapy PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Emerald Bay Physical Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Emerald Bay Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Emerald Bay Physical Therapy PC was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.