Individual provider Active NPI

Emma Braks, OT

  • Occupational Therapist
  • Vancouver, WA
National Provider Identifier
1245913839
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
7710 NE Greenwood Dr Ste 220
Vancouver, WA 98662-7904
Phone
(360) 207-1554
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 Primary

Addresses

Primary practice location

7710 NE Greenwood Dr Ste 220
Vancouver, WA 98662-7904

Mailing address

22 W 28TH Ave
Spokane, WA 99203-1858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911000849 WA Practitioner - Occupational Therapist in Private Practice 1456715499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gabbert Clinic PLLCGroup PAC ID 8527448331, 6 clinicians

Practice addresses (Care Compare)

7710 NE Greenwood Dr
Suite 150
Vancouver, WA 98662-7904
Phone (360) 207-1554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gabbert Clinic PLLC Occupational Therapist CurrentSince Aug 27, 2023 Accepting new patients

Locations

7710 NE Greenwood Dr
Ste 220
Vancouver, WA 98662
Phone (360) 207-1554

7710 NE Greenwood Dr
Ste 150
Vancouver, WA 98662
Phone (360) 207-1554

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1245913839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W 28TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NE GREENWOOD DR STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986627904",
            "telephone_number": "360-207-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKS",
        "first_name": "EMMA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.