Individual provider Active NPI

Kristen Emig, OT

  • Occupational Therapist
  • Laguna Vista, TX
National Provider Identifier
1124336714
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113134 Issued in TX
Practice address
225 Mesquite Dr
Laguna Vista, TX 78578-2708
Phone
(956) 943-2248
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 113134 TX Primary

Addresses

Primary practice location

225 Mesquite Dr
Laguna Vista, TX 78578-2708

Mailing address

3316 Green Ridge St
Fort Worth, TX 76133-7252
Phone (575) 779-6282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428000754 NM Practitioner - Occupational Therapist in Private Practice 0345658597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Sport and Spine Center Inc CurrentSince Oct 20, 2025 Accepting new patients
Real View Diagnostics LLC PastSince Oct 20, 2025 Accepting new patients
Laguna Madre Rehabilitation Center Past Accepting new patients
Laguna Madre Rehabilitation Center Past Accepting new patients

Locations

1181 Mall Dr
Ste C
Las Cruces, NM 88011
Phone (575) 522-0766

2404 S Locust St
Ste 5
Las Cruces, NM 88001
Phone (505) 521-4188

Organizations & group practices 4

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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1124336714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 GREEN RIDGE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337252",
            "telephone_number": "575-779-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MESQUITE DR",
            "city": "LAGUNA VISTA",
            "state": "TX",
            "postal_code": "785782708",
            "telephone_number": "956-943-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMIG",
        "first_name": "KRISTEN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Vista, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.