Emily Siren Medina, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6690 Issued in TN

Practice address

4825 Trousdale Dr Ste 216
Nashville, TN 37220-1307

Phone

(615) 431-9776

NPI assigned

Mar 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1053654855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 TROUSDALE DR STE 216",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372201307",
            "telephone_number": "615-431-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 TROUSDALE DR STE 216",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372201307",
            "telephone_number": "615-431-9776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 W. 213th Street",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905012892",
            "country_code": "US",
            "telephone_number": "310-328-0276 x351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "EMILY",
        "middle_name": "SIREN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12627",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "6690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicopy Services
• Medicos Nashville Family Medicine, LLC
• Medimove Solutions LLC
• Brenda B Medina, M.D.
• Chelsea R Medina, MA
• Jon Gabriel Medina, APRN, PMHNP-BC
• Leaitrice Sterling Medina, B.S.
• Omar Medina, M.D.
• Meditech Solutions LLC
• Meditranz, LLC

• Pediatric Occupational Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Pediatric Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.