Alec Thomas Emmelkamp, PT, DPT
Alec Thomas Emmelkamp, PT, DPT is a Physical Therapist in Private Practice in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Massachusetts.
- Years since qualifying
- 4
- Licensed in
- MA
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
40 Ridgemont St Apt 3Boston, MA 02134-2435
Phone: (303) 564-2446
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 26277 (MA) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1710606553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT |
| Sole proprietor | Yes |
| NPI enumerated | August 24, 2022 |
| Last updated in NPPES | August 24, 2022 |
| Certification date | August 24, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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