Healthcare Provider Details

I. General information

NPI: 1649199746
Provider Name (Legal Business Name): EMMA KARLY DISSINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

984 LOUCKS RD STE F
YORK PA
17404-2274
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 717-430-0770
  • Fax: 717-708-9454
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034211
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: