Individual provider Active NPI

Emily M E Kimmins, OTD, OTR/L

  • Occupational Therapist
  • Beaufort, SC
National Provider Identifier
1235640350
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5531 Issued in SC
Practice address
1600 Washington St
Beaufort, SC 29902-4444
Phone
(843) 812-1958
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 5531 SC Primary

Addresses

Primary practice location

1600 Washington St
Beaufort, SC 29902-4444

Mailing address

6745 SE State Farm Rd
North Platte, NE 69101-9029
Phone (252) 725-9456

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5531SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Pelvic Health and Occupational Therapy LLC Occupational Therapist CurrentSince Mar 24, 2024 Accepting new patients
Elite Physical Therapy and Pilates Rehabilitation PC PastSince Mar 18, 2015 Accepting new patients

Locations

1600 Washington St
Beaufort, SC 29902
Phone (843) 812-1958

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1235640350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 SE STATE FARM RD",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691019029",
            "telephone_number": "252-725-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WASHINGTON ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024444",
            "telephone_number": "843-812-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMINS",
        "first_name": "EMILY",
        "middle_name": "M E",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.