Provider Demographics
NPI:1073289559
Name:PIXLEY, EMMA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:PIXLEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BARKINGHAM LN STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5905
Mailing Address - Country:US
Mailing Address - Phone:864-881-1712
Mailing Address - Fax:
Practice Address - Street 1:11 BARKINGHAM LN STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5905
Practice Address - Country:US
Practice Address - Phone:864-881-1712
Practice Address - Fax:864-435-9923
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN225100000X
TN13776225100000X
SC11225225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist