Active NPI
Kathlene Emanuel
- Occupational Therapist
- Worcester, MA
National Provider Identifier
1386189439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5476
- Practice address
- 345A Greenwood Street
Suite B
Worcester, MA 01607 - Phone
- (508) 363-0200
- NPI assigned
- Dec 28, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Occupational Therapist | 225X00000X | 5476 | CT | Primary |
Addresses
Primary practice location
345A Greenwood Street
Suite B
Worcester, MA 01607
Mailing address
131 Old N Woodstock Rd Apt 2
Southbridge, MA 01550-2837
Phone (562) 895-2782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab OT CT, LLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehab of Ri PC | Occupational Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 2
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.
-
- Occupational Therapist
- Wilton, CT
- NPI 1912251992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1386189439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 OLD N WOODSTOCK RD APT 2",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502837",
"telephone_number": "562-895-2782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345A GREENWOOD STREET",
"address_2": "SUITE B",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01607",
"telephone_number": "508-363-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMANUEL",
"first_name": "KATHLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "5476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.