Active NPI
Emily Ann Summa, OTR/L
- Occupational Therapist
- Fort Myers, FL
National Provider Identifier
1245847920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21261
- Practice address
- 7650 Gladiolus Dr
Fort Myers, FL 33908-5493 - Phone
- (877) 969-0712
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21261 | FL | Primary |
Addresses
Primary practice location
7650 Gladiolus Dr
Fort Myers, FL 33908-5493
Mailing address
17250 Caloosa Trace Cir
Fort Myers, FL 33967-2597
Phone (239) 770-3474
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21261 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1245847920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17250 CALOOSA TRACE CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339672597",
"telephone_number": "239-770-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7650 GLADIOLUS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085493",
"telephone_number": "877-969-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMA",
"first_name": "EMILY",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "21261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
- Lisa A Sullivan, C.R.N.A.
- Patricia Ellen Sullivan
- Sara Sullivan
- Sarah Sullivan
- Shahid Sultan, M.D.
- Summerlin Anesthesia, Inc.
- Summerlin Bend Surgery Center LLP (Adult & Childrens Surgery Center of Southwest Florida)
- Summerlin Ciropractic, P.a.
- Summerlin Imaging Center LLC (Summerlin Imaging Center)
- William Summey, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.