Active NPI
Emilda Lily Pinto, O.T.
- Occupational Therapist
- Poplar Bluff, MO
National Provider Identifier
1285906784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004091
- Practice address
- 2981 Kanell Blvd
Poplar Bluff, MO 63901-4008 - Phone
- (573) 712-2280
- Fax
- (573) 778-9589
- NPI assigned
- Jan 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004091 | MO | Primary |
Addresses
Primary practice location
2981 Kanell Blvd
Poplar Bluff, MO 63901-4008
Mailing address
P.O. Box 3
Poplar Bluff, MO 63902-4008
Phone (573) 712-2280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 457889507 | Medicaid | MO |
Other names 1
- Emilda Lily Pinto
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004091 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Poplar Bluff, MO
- NPI 1336869338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1285906784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639024008",
"telephone_number": "573-712-2280",
"fax_number": "573-778-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2981 KANELL BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639014008",
"telephone_number": "573-712-2280",
"fax_number": "573-778-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINTO",
"first_name": "EMILDA",
"middle_name": "LILY",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-31",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "004091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "457889507",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILDA",
"last_name": "PINTO",
"middle_name": "LILY",
"credential": "O.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.