Individual provider Active NPI

Emily Joy Hack

  • Occupational Therapist
  • Cornelius, NC
National Provider Identifier
1225611569
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14013 Issued in NC
Practice address
9624 Bailey Rd
Cornelius, NC 28031-6114
Phone
(803) 329-9500
Fax
(803) 228-0101
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6359 SC
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 14013 NC Primary

Addresses

Primary practice location

9624 Bailey Rd
Cornelius, NC 28031-6114

Mailing address

1612 Ebenezer Rd
Rock Hill, SC 29732-3828
Phone (803) 329-9500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@mytherapyworld.com Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1225611569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323828",
            "telephone_number": "803-329-9500",
            "fax_number": "803-228-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 BAILEY RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316114",
            "telephone_number": "803-329-9500",
            "fax_number": "803-228-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACK",
        "first_name": "EMILY",
        "middle_name": "JOY",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6359",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@mytherapyworld.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinic",
            "address_1": "1612 Ebenezer Rd Ste 101",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297323862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.