Emily Charissa Zavala, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

TL5905 Issued in MN

Practice address

20288 MN-15
Unit 100
Hutchinson, MN 55409-1615

Phone

(301) 471-3588

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Charissa Howard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1194471458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 4TH AVE S APT B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091615",
            "telephone_number": "301-471-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20288 MN-15",
            "address_2": "UNIT 100",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "554091615",
            "telephone_number": "301-471-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "EMILY",
        "middle_name": "CHARISSA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "TL5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HOWARD",
            "middle_name": "CHARISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Joanne Woodford
• Peter Ydstie, CRNA
• Caroline Wilcox Youngkrantz, MSW, LICSW
• Samantha Delores Youngs, PA-C
• Evan Yu, DMD
• Terry Zehnter, RN
• Kaili Zeiher
• Khalea Zobel

• Occupational Therapist in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.