Active NPI
Emmie Stanifer
- Occupational Therapist
- Bloomington, IL
National Provider Identifier
1467165480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1925 S Main St Ste a
Bloomington, IL 61704-7313 - Phone
- (309) 827-0934
- NPI assigned
- Jan 4, 2023
- Last updated
- Jan 9, 2026
- 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 | IL | Primary |
Addresses
Primary practice location
1925 S Main St Ste a
Bloomington, IL 61704-7313
Mailing address
3151 N 1400 East Rd
Mansfield, IL 61854-6924
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1467165480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 N 1400 EAST RD",
"city": "MANSFIELD",
"state": "IL",
"postal_code": "618546924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 S MAIN ST STE A",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617047313",
"telephone_number": "309-827-0934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANIFER",
"first_name": "EMMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
- St Joseph Medical Center (St Joseph Medical Center Occupational Health)
- St Joseph Medical Center (OSF Saint Joseph Medical Center)
- St. Joseph Medical Center (OSF Hospice-Eastern Region)
- Richard Lee Stallman, R.PH
- Kyle Stang, MD
- Daniel Warren Steadman, D.D.S.
- Persephone Steel
- Stephanie Steele
- Jenny H. Steffen, P.A.
- Colton Michael Steidinger, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.