Individual provider Active NPI

Emily A Jones, OTR

  • Pediatric Occupational Therapist
  • Bedford, IN
National Provider Identifier
1245998426
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
31007618A Issued in IN
Practice address
2137 16TH St
Bedford, IN 47421-3003
Phone
(812) 275-5593
NPI assigned
Dec 3, 2021
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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 31007618A IN
Pediatric Occupational Therapist 225XP0200X 31007618A IN Primary

Addresses

Primary practice location

2137 16TH St
Bedford, IN 47421-3003

Mailing address

3400 S Sare Rd Apt 1328
Bloomington, IN 47401-8011
Phone (317) 748-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250331000274 IN Practitioner - Occupational Therapist in Private Practice 6204359300 Reassigns benefits to 1 organization
I20260612000341 TX Practitioner - Occupational Therapist in Private Practice 6204359300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1905 S Lakeline Blvd
Cedar Park, TX 78613-4299
Phone (512) 215-8600

3211 E Moores Pike
Bloomington, IN 47401-7129
Phone (812) 334-7604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31007618AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Mar 3, 2025 Accepting new patients
Legacy Healthcare Services, Inc. Occupational Therapist CurrentSince Mar 3, 2025 Accepting new patients

Locations

3211 E Moores Pike
Bloomington, IN 47401
Phone (812) 334-7604

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 3

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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1245998426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 S SARE RD APT 1328",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018011",
            "telephone_number": "317-748-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213003",
            "telephone_number": "812-275-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007618A",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IN",
            "license": "31007618A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.