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

Emma Perry Cadwallader, RPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1912493768

Emma Perry Cadwallader, RPT is a Physical Therapist in Private Practice in San Luis Obispo, California. Qualified in 2018, 8 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, California and Massachusetts.

Years since qualifying
8
Licensed in
AL, CA, MA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

862 Meinecke Ave Ste 101
San Luis Obispo, CA 93405-3702
Phone: (805) 619-0414
Fax: (805) 549-5253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 790 Remington Blvd, Bolingbrook, IL 60440-4909 — (866) 370-8206

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT305645 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 24050 (MA)
Physical Therapist Taxonomy 225100000X · Licence PTH8932 (AL)

Record details

NPI number1912493768
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPT
Sole proprietorNo
NPI enumeratedJuly 5, 2018
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

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 Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Luis Obispo