Active NPI
Occupational Therapy by Emilia
- Occupational Therapist
- Pascagoula, MS
National Provider Identifier
1295585966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- OCCUPATIONAL THERAPY BY EMILIA
- Practice address
- 921 Columbus Dr
Pascagoula, MS 39567-6481 - Phone
- (228) 990-0576
- NPI assigned
- Mar 25, 2024
- Last updated
- Mar 25, 2024
- 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
- Emilia Blackwell, OTR/L
- Title
- Owner
- Phone
- (228) 990-0576
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
921 Columbus Dr
Pascagoula, MS 39567-6481
Mailing address
921 Columbus Dr
Pascagoula, MS 39567-6481
Phone (228) 990-0576
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Pascagoula, MS
- NPI 1831643345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1295585966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 COLUMBUS DR",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395676481",
"telephone_number": "228-990-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 COLUMBUS DR",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395676481",
"telephone_number": "228-990-0576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCCUPATIONAL THERAPY BY EMILIA",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A",
"authorized_official_last_name": "BLACKWELL",
"authorized_official_first_name": "EMILIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-990-0576",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.