Active NPI
Emily Paige McKinnon
- Occupational Therapist
- Rockville, MD
National Provider Identifier
1043720790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08301
- Practice address
- 9420 Key West Ave Ste 140
Rockville, MD 20850-6332 - Phone
- (301) 545-1677
- NPI assigned
- Oct 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 08301 | MD | Primary |
Addresses
Primary practice location
9420 Key West Ave Ste 140
Rockville, MD 20850-6332
Mailing address
8312 Periwinkle PL
Fairfax Station, VA 22039-3225
Phone (571) 641-9801
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emckinnon765963@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2751 Prosperity Ave
Suite 550
Fairfax, VA 22031-4327
Phone (571) 454-6085
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08301 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niche Hand Surgery and Orthopedics PLLC | Current | Accepting new patients | |
| Proactive Hand and Physical Therapy | Current | Accepting new patients | |
| Empower Hand Therapy and Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
| Proactive Hand and Physical Therapy, LLC | Past | Accepting new patients |
Locations
8500 Executive Park Ave
Ste 310
Fairfax, VA 22031
Phone (571) 454-6085
2751 Prosperity Ave
Ste 550
Fairfax, VA 22031
Phone (571) 454-6085
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fairfax, VA
- NPI 1992441679
-
- Physical Medicine & Rehabilitation Physician
- Greenbelt, MD
- NPI 1316769177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1043720790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8312 PERIWINKLE PL",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220393225",
"telephone_number": "571-641-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 KEY WEST AVE STE 140",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506332",
"telephone_number": "301-545-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "EMILY",
"middle_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08301",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emckinnon765963@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "8501 Arlington Blvd Ste 200",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220314625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.