Emily Hagedorn, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

165738 Issued in KY

Practice address

201 Kimberly LN
Williamstown, KY 41097-9458

Phone

(859) 824-7803

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1215513130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KIMBERLY LN",
            "city": "WILLIAMSTOWN",
            "state": "KY",
            "postal_code": "410979458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KIMBERLY LN",
            "city": "WILLIAMSTOWN",
            "state": "KY",
            "postal_code": "410979458",
            "telephone_number": "859-824-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Arrowhead Dr Apt 2",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "KY",
            "postal_code": "410978105",
            "country_code": "US",
            "telephone_number": "859-496-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEDORN",
        "first_name": "EMILY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "165738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Owenton",
            "affiliation": "N",
            "endpointDescription": "SNF",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "905 KY-127 N",
            "city": "Owenton",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grant County Board of Education
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• Leigh Ann Grant, ANN,RNC
• Kristine Marie Gulley, PTA
• Amy Gutman, PT
• Mary Diane Hamm, LCSW
• Alice Jeanne Heeger-Hartman, D.C.
• J Wallace LLC (Grant County Drugs Williamstown)
• Beth A Johnson, MA
• Julia M. Kampsen, NP-C

• Occupational Therapy Assistant in Williamstown, KY
• Providers in Williamstown, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.