Active NPI
Emanvi LLC
- Occupational Therapy Assistant
- Watervliet, NY
National Provider Identifier
1265137889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Legal business name
- EMANVI LLC
- Practice address
- 317 Boght Rd
Watervliet, NY 12189-1106 - Phone
- (850) 624-5401
- NPI assigned
- Apr 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jaun Manuel Escobar, OTR
- Title
- Managing Director
- Phone
- (850) 624-5401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
317 Boght Rd
Watervliet, NY 12189-1106
Mailing address
317 Boght Rd
Watervliet, NY 12189-1106
Phone (850) 624-5401
Other names 1
- Escobar Occupational Therapy Consulting and Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680480000000",
"number": "1265137889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 BOGHT RD",
"city": "WATERVLIET",
"state": "NY",
"postal_code": "121891106",
"telephone_number": "850-624-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 BOGHT RD",
"city": "WATERVLIET",
"state": "NY",
"postal_code": "121891106",
"telephone_number": "850-624-5401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMANVI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A",
"authorized_official_last_name": "ESCOBAR",
"authorized_official_first_name": "JAUN",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "850-624-5401",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Escobar Occupational Therapy Consulting and Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Watervliet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.