Active NPI
Emily Modlin, MS/ OTR/L
- Occupational Therapist
- Greenville, SC
National Provider Identifier
1093106429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4337
- Practice address
- 545 Verdae Blvd
Greenville, SC 29607-4021 - Phone
- (864) 520-8910
- NPI assigned
- Feb 6, 2015
- Last updated
- Jul 27, 2016
- 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 | 4337 | SC | Primary |
Addresses
Primary practice location
545 Verdae Blvd
Greenville, SC 29607-4021
Mailing address
12 Wolseley Rd
Greenville, SC 29615-2842
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4337 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1093106429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WOLSELEY RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296152842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 VERDAE BLVD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074021",
"telephone_number": "864-520-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODLIN",
"first_name": "EMILY",
"credential": "MS/ OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "4337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.