Healthcare Provider Details

I. General information

NPI: 1821993015
Provider Name (Legal Business Name): EMERGE PHYSICAL THERAPY & PERFORMANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 SUNRISE DRIVE
MORGANTOWN KY
42261
US

IV. Provider business mailing address

1682 S MAIN ST
MORGANTOWN KY
42261-7239
US

V. Phone/Fax

Practice location:
  • Phone: 270-999-2850
  • Fax:
Mailing address:
  • Phone: 270-999-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: CASIE BROOKE STIVERS
Title or Position: OWNER/DPT
Credential: PT,DPT
Phone: 270-999-2850