Active NPI
Emily Church Thomas, OTR/L
- Occupational Therapist
- New York, NY
National Provider Identifier
1174894448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024552
- Practice address
- 55 Tiemann PL Apt 58
New York, NY 10027-3338 - Phone
- (718) 377-5000
- Fax
- (718) 377-5002
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC011988 | PA | |
| Occupational Therapist | 225X00000X | 024552 | NY | Primary |
Addresses
Primary practice location
55 Tiemann PL Apt 58
New York, NY 10027-3338
Mailing address
55 Tiemann PL Apt 58
New York, NY 10027-3338
Phone (718) 377-5000
Other practice location 1
3109 Green Garden Rd
Aliquippa, PA 15001-1069
Phone (724) 378-8228
Other names 1
- Emily Church Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
441 Route 306
Suite 2
Monsey, NY 10952-1234
Phone (718) 377-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043951 | NY | MD | General Practice Dentistry |
| 024552 | NY | MD | Occupational Therapist |
| OC011988 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homeside Rehab, PT, OT, SLP LLC | Current | Accepting new patients |
Locations
441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436
296 Route 59
Ste 1225
Suffern, NY 10901
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Monsey, NY
- NPI 1023258431
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
-
- Physical Therapist
- Brooklyn, NY
- NPI 1134747884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1174894448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 TIEMANN PL APT 58",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100273338",
"telephone_number": "718-377-5000",
"fax_number": "718-377-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 TIEMANN PL APT 58",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100273338",
"telephone_number": "718-377-5000",
"fax_number": "718-377-5002"
}
],
"practiceLocations": [
{
"address_1": "3109 Green Garden Rd",
"address_purpose": "LOCATION",
"city": "Aliquippa",
"state": "PA",
"postal_code": "150011069",
"country_code": "US",
"telephone_number": "724-378-8228",
"fax_number": "724-857-0920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "EMILY",
"middle_name": "CHURCH",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC011988",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "THOMAS",
"middle_name": "CHURCH",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.