Emily Bennett
Individual provider Active NPI Occupational Therapist · Starkville, MS
NPI 1497585954 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1497585954
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-4165 (MS)
- Practice address
- 74 Claiborne Way
Starkville, MS 39759-8544 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240823003704 | MS | Practitioner - Occupational Therapist in Private Practice | 9032658828 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Agency Ms LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
74 Claiborne Way
Starkville, MS 39759
Phone (662) 268-9555
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-4165 | MS | Yes |
Addresses
Primary practice location
74 Claiborne Way
Starkville, MS 39759-8544
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other providers in Starkville, MS
- George Ray Beals
- Kim L Beard
- Laquita Eloise Bedford
- Behavioral Research Assessment and Training Services
- Ashley Bennett
- Regan Moore Bernardoni
- Destany Berry
- Better Day Services
- Better Day Services
- Shaunacy F Billups
All providers in Starkville, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.