Active NPI
Emily Hall, OTR/L
- Occupational Therapist
- Fredericksburg, VA
National Provider Identifier
1043763774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119008111
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4604 | SC | MD | Physical Therapy Assistant |
| OT18309 | FL | MD | Occupational Therapist |
| OT006481 | GA | MD | Occupational Therapist |
| 0119008111 | VA | MD | Occupational 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.