Individual provider Active NPI

Emily Paige McKinnon

  • Occupational Therapist
  • Rockville, MD
National Provider Identifier
1043720790
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
08301 Issued in MD
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

Updated by the provider on Apr 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20171205002917 DC Practitioner - Occupational Therapist in Private Practice 7315204005 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
08301MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Niche Hand Surgery and Orthopedics PLLC CurrentSince Mar 1, 2023 Accepting new patients
Proactive Hand and Physical Therapy CurrentSince Nov 6, 2017 Accepting new patients
Empower Hand Therapy and Rehabilitation LLC Occupational Therapist CurrentSince Mar 1, 2023 Accepting new patients
Proactive Hand and Physical Therapy, LLC PastSince Nov 3, 2024 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.

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.

Verify at the official NPI Registry.