Active NPI
Emily Church
- Occupational Therapist
- Shelbyville, KY
National Provider Identifier
1083882823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 168206
- Practice address
- 584 Old Brunerstown Rd Apt 522
Shelbyville, KY 40065-8476 - Phone
- (502) 428-1972
- NPI assigned
- Feb 14, 2008
- Last updated
- Oct 20, 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 | 168206 | KY | Primary |
Addresses
Primary practice location
584 Old Brunerstown Rd Apt 522
Shelbyville, KY 40065-8476
Mailing address
584 Old Brunerstown Rd Apt 522
Shelbyville, KY 40065-8476
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168206 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1083882823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 OLD BRUNERSTOWN RD APT 522",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 OLD BRUNERSTOWN RD APT 522",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658476",
"telephone_number": "502-428-1972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "168206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.