Organization Active NPI

Emanvi LLC

  • Occupational Therapy Assistant
  • Watervliet, NY
National Provider Identifier
1265137889
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
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

Updated by the provider on Apr 3, 2023

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)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.