A 911 call is routed by the caller's location. For internet phone service, which has to connect 911 calls, the FCC's E911 rule requires the provider to send the call, the calling number and the location to the PSAP "that serves the caller's dispatchable location." Dispatchable location means a validated street address, plus a suite, apartment or similar detail where that's needed to find the caller.
Location is used twice on the way. It decides which PSAP gets the call, and then it tells the call taker where to send help. Microsoft's Teams documentation describes both uses. The emergency service provider uses the location to pick the appropriate PSAP and route the call there. It then gives the PSAP dispatcher the caller's location.
Atlantech Online, a business phone provider in Silver Spring, Maryland, describes E911 the same way from the provider's side. E911 identifies the caller's location and routes the call to the appropriate local PSAP. It then gives the PSAP that location, and Atlantech uses its own address, 1010 Wayne Avenue in Silver Spring, as the example.
This is why the address on file with a VoIP provider matters at the PSAP's end. With Atlantech's static option, the address assigned to a phone number is stored and sent to the 911 call center when that number dials 911. Atlantech warns that if you move the phone and don't update the address, the 911 center receives the wrong location.
An Atlantech customer can hear the address on file by dialing 933, one of the steps in registering a VoIP phone for 911.