Individual provider Active NPI

Emily Cavallo, OTR/L

  • Low Vision Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1124683271
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
Practice address
6711 Alamosa Dr
Wilmington, NC 28411-6136
Phone
(443) 643-6383
NPI assigned
May 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational Therapist 225XL0004X NC Primary

Addresses

Primary practice location

6711 Alamosa Dr
Wilmington, NC 28411-6136

Mailing address

6711 Alamosa Dr
Wilmington, NC 28411-6136
Phone (443) 643-6383

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

LicenseStateTypeSpecialty
10515NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Low Vision Rehab Solutions, LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

100 Parkway Office Ct
Ste 202
Cary, NC 27518
Phone (919) 239-4805

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": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1124683271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 ALAMOSA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116136",
            "telephone_number": "443-643-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 ALAMOSA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116136",
            "telephone_number": "443-643-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLO",
        "first_name": "EMILY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.