Healthcare Provider Details

I. General information

NPI: 1407658248
Provider Name (Legal Business Name): EMILY PAULEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 FREEPORT RD
PITTSBURGH PA
15215-3301
US

IV. Provider business mailing address

208 RIVERVIEW DR
EPHRATA PA
17522-1898
US

V. Phone/Fax

Practice location:
  • Phone: 877-287-3422
  • Fax:
Mailing address:
  • Phone: 717-466-0418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT032279
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: