Active NPI
Emma Joyce Carlton, OTD
- Occupational Therapist
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3411
- Practice address
- 105 S Blair St
Springdale, AR 72764-4410 - Phone
- (479) 259-2339
- NPI assigned
- Sep 11, 2020
- Last updated
- Sep 13, 2021
- 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 | OT3411 | AR | Primary |
Addresses
Primary practice location
105 S Blair St
Springdale, AR 72764-4410
Mailing address
12075 Seba Rd
Centerton, AR 72719-9009
Other names 1
- Emma Joyce Kinsey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
440 W US Hwy 72
Suite 2
Collierville, TN 38017-2804
6699 Eel River Rd N
Denver, IN 46926-9170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8474 | TN | MD | Oral and Maxillofacial Surgery (Dentist) |
| OT3411 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 901 Therapy of Collierville LLC | Occupational Therapist | Current | Accepting new patients |
| 901 Therapy of Collierville LLC | Occupational Therapist | Current | Accepting new patients |
| Kids Spot LLC | Past | Accepting new patients |
Locations
440 W US Highway 72
Ste 2
Collierville, TN 38017
Phone (901) 221-8244
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Collierville, TN
- NPI 1891686523
Occupational Therapist
-
dba 901 Therapy
- Speech-Language Pathologist
- Collierville, TN
- NPI 1023817012
Occupational Therapist
-
- Physical Therapy Clinic/Center
- Springdale, AR
- NPI 1174845358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1073128526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12075 SEBA RD",
"city": "CENTERTON",
"state": "AR",
"postal_code": "727199009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S BLAIR ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644410",
"telephone_number": "479-259-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLTON",
"first_name": "EMMA",
"middle_name": "JOYCE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-11",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OT3411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMMA",
"last_name": "KINSEY",
"middle_name": "JOYCE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.