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General NPI Number Information
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NPI Number | 1821993015
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Entity Type | Organization
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Legal Business Name | EMERGE PHYSICAL THERAPY & PERFORMANCE
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 125 SUNRISE DRIVE
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City | MORGANTOWN
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State | KY
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Zip | 42261
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Country | US
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Telephone | 270-999-2850
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Fax |
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Provider Business Mailing Address
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Address Line | 1682 S MAIN ST
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City | MORGANTOWN
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State | KY
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Zip | 42261-7239
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Country | US
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Telephone | 270-999-2850
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Fax |
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Authorized Official
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Title or Position | OWNER/DPT
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Name | CASIE BROOKE STIVERS
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Credential | PT,DPT
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Telephone | 270-999-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | NULL
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