Healthcare Provider Details

I. General information

NPI: 1265142491
Provider Name (Legal Business Name): EMMA TOILLION DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMMA GILBERT

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10787 OAK ST NE STUDIO 1
ST. PETERSBURG FL
33716-3302
US

IV. Provider business mailing address

10787 OAK ST NE STUDIO 1
ST. PETERSBURG FL
33716-3302
US

V. Phone/Fax

Practice location:
  • Phone: 252-435-7871
  • Fax:
Mailing address:
  • Phone: 252-435-7871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT39549
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: