MEDICARE: EMMA LEIGH ST. PIERRE DPT, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	052468	NY
2	225100000X	Physical Therapist	0020200	CO
3	225100000X	Physical Therapist	LPT-034267	AZ
4	225100000X	Physical Therapist	245848	AK

General Provider Information

NPI Number	:	1831936681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA LEIGH ST. PIERRE DPT, PT

Provider Business Mailing Address
First Line	:	PO BOX 96350
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85072-6350
Country	:	US
Telephone Number	:	907-332-0021
Fax Number	:	907-373-9464

Provider Business Practice Location Address
First Line	:	7985 E 16TH AVE STE 100
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-2896
Country	:	US
Telephone Number	:	907-332-0021
Fax Number	:	907-373-9464

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	01/06/2026

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Directions to “ EMMA LEIGH ST. PIERRE DPT, PT” Practice Location

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