Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Elizabeth Eiteljorg

Individual provider Physical Therapist · NPI 1902396187

Emily Elizabeth Eiteljorg is a Physical Therapist in Private Practice in Indianapolis, Indiana. Qualified in 2018, 8 years ago. Practices with Primus Health, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

4950 E Stop 11 RD Ste B
Indianapolis, IN 46237-9104
Phone: (317) 859-5857
Fax: (317) 865-2265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1902396187
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESMay 14, 2018
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Primus Health — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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