Individual provider Active NPI

Emily Catherine Oliver, OTD, OTR

  • Occupational Therapist
  • Rockwall, TX
National Provider Identifier
1073389185
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
124130 Issued in TX
Practice address
789 Justin Rd
Rockwall, TX 75087-4840
Phone
(972) 771-5731
Fax
(972) 771-5786
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 124130 TX
Occupational Therapist 225X00000X 124130 TX Primary

Addresses

Primary practice location

789 Justin Rd
Rockwall, TX 75087-4840

Mailing address

789 Justin Rd
Rockwall, TX 75087-4840
Phone (972) 771-5731

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
124130TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy C. Havenor PastSince Dec 1, 2023 Accepting new patients
Playworks Pediatric Therapy Services Inc Occupational Therapist PastSince Dec 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1073389185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874840",
            "telephone_number": "972-771-5731",
            "fax_number": "972-771-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874840",
            "telephone_number": "972-771-5731",
            "fax_number": "972-771-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "credential": "OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "124130",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.