Individual provider Active NPI

Emily Ann Hunter, OTRL

  • Occupational Therapist
  • Brockway, MI
National Provider Identifier
1174088322
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010426 Issued in MI
Practice address
7609 Brockway Rd
Brockway, MI 48097-3459
Phone
(810) 387-4900
NPI assigned
Feb 1, 2019
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 5201010426 MI Primary

Addresses

Primary practice location

7609 Brockway Rd
Brockway, MI 48097-3459

Mailing address

6854 Capac Rd
Lynn, MI 48097-1703
Phone (810) 858-7103

Other practice location 1

7343 Sunset Blvd
Lexington, MI 48450-9731
Phone (810) 858-7103

Other practice location 2

5590 Main St Ste 4
Lexington, MI 48450-9383
Phone (810) 359-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190312000266 MI Practitioner - Occupational Therapist in Private Practice 1850630716 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201010426MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prostaff Physical Therapy, PLLC CurrentSince May 16, 2022 Accepting new patients
Lexington Physical Therapy PLLC PastSince Jul 14, 2021 Accepting new patients

Locations

7609 Brockway Rd
Brockway, MI 48097
Phone (810) 387-4900

5590 Main St
Ste 4
Lexington, MI 48450
Phone (810) 359-8700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1174088322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6854 CAPAC RD",
            "city": "LYNN",
            "state": "MI",
            "postal_code": "480971703",
            "telephone_number": "810-858-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 BROCKWAY RD",
            "city": "BROCKWAY",
            "state": "MI",
            "postal_code": "480973459",
            "telephone_number": "810-387-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7343 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MI",
            "postal_code": "484509731",
            "country_code": "US",
            "telephone_number": "810-858-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5590 Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MI",
            "postal_code": "484509383",
            "country_code": "US",
            "telephone_number": "810-359-8700",
            "fax_number": "810-359-8702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockway, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.