Emily Rae Derks, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6932 Issued in AZ

Practice address

3627 E Indian School Rd Ste 102
Phoenix, AZ 85018-5159

Phone

(419) 271-3235

NPI assigned

May 14, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Positive Notes

  • Occupational Therapist
  • Gilbert, AZ
  • NPI 1760101372
  NPD Authorized official
• A Better Tomorrow Therapy Inc.

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1609463173
  NPD
• Synaptx, LTD

  • Point of Service
  • Crystal Lake, IL
  • NPI 1669637344
  NPD (past)

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1275979536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E BERNIE LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950103",
            "telephone_number": "630-808-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 E INDIAN SCHOOL RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185159",
            "telephone_number": "419-271-3235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1799 Kings Gate Ln",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600142906",
            "country_code": "US",
            "telephone_number": "815-276-7786",
            "fax_number": "815-788-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERKS",
        "first_name": "EMILY",
        "middle_name": "RAE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6932",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tallan Depriest
• Dera Health LLC
• Scott R Derenne, PA-C (PHYSICIAN ASSI
• Silvia Dergal
• Regina Jane Deringer, FNP
• Brenna J. Derksen, MD
• Dermal Wellness Group LLC
• Dermatology Associates, P.C.
• Dermatology Clinic LTD
• Dermatology Vein and Laser Institute LLC

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.