Individual provider Active NPI

Emily Hall, OTR/L

  • Occupational Therapist
  • Fredericksburg, VA
National Provider Identifier
1043763774
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119008111 Issued in VA
Practice address
12100 Chancellors Village LN
Fredericksburg, VA 22407-6100
Phone
(540) 685-0175
NPI assigned
Jul 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4604 SC
Occupational Therapist 225X00000X OT006481 GA
Occupational Therapist 225X00000X OT18309 FL
Occupational Therapist 225X00000X 0119008111 VA Primary

Addresses

Primary practice location

12100 Chancellors Village LN
Fredericksburg, VA 22407-6100

Mailing address

116 W Thigpen Ave
Lakeland, GA 31635-1011

Other practice location 1

116 W Thigpen Ave
Lakeland, GA 31635-1011
Phone (229) 482-8578

Other practice location 2

1624 Eagles Landing Blvd Apt 89
Tallahassee, FL 32308-1558
Phone (850) 509-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4604SCMDPhysical Therapy Assistant
OT18309FLMDOccupational Therapist
OT006481GAMDOccupational Therapist
0119008111VAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1043763774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W THIGPEN AVE",
            "city": "LAKELAND",
            "state": "GA",
            "postal_code": "316351011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 CHANCELLORS VILLAGE LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076100",
            "telephone_number": "540-685-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 W Thigpen Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "GA",
            "postal_code": "316351011",
            "country_code": "US",
            "telephone_number": "229-482-8578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 Eagles Landing Blvd Apt 89",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323081558",
            "country_code": "US",
            "telephone_number": "850-509-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "EMILY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4604",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006481",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18309",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.