Active NPI
Emily Van Buren, MOTR/L
- Occupational Therapist
- Bradenton, FL
National Provider Identifier
1083116099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19025
- Practice address
- 3823 E State Road 64
Bradenton, FL 34208-9041 - Phone
- (941) 745-5111
- Fax
- (941) 745-5667
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | OT19025 | ZZ | Primary |
Addresses
Primary practice location
3823 E State Road 64
Bradenton, FL 34208-9041
Mailing address
3823 E State Road 64
Bradenton, FL 34208-9041
Phone (941) 745-5111
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 |
|---|---|---|---|
| OT19025 | ZZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Therapy Solutions Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1083116099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3823 E STATE ROAD 64",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089041",
"telephone_number": "941-745-5111",
"fax_number": "941-745-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3823 E STATE ROAD 64",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089041",
"telephone_number": "941-745-5111",
"fax_number": "941-745-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN BUREN",
"first_name": "EMILY",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ZZ",
"license": "OT19025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.