Emily Dianne Staab, MOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004598A Issued in IN

Practice address

8921 Southpointe Dr
Indianapolis, IN 46227-1084

Phone

(317) 881-1718

NPI assigned

May 26, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• CHN JMH Ventures LLC

  dba Stones Crossing PT & Rehabilitation

  • Physical Therapist
  • Greenwood, IN
  • NPI 1902242084
  Medicare reassignment
• Crossroads Rehabilitation Center, Inc.

  dba Easter Seals Crossroads

  • Rehabilitation Practitioner
  • Indianapolis, IN
  • NPI 1457359838

  Occupational Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1518192269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 LINDA LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439182",
            "telephone_number": "765-414-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 SOUTHPOINTE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271084",
            "telephone_number": "317-881-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAB",
        "first_name": "EMILY",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "MOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004598A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Vincent Seton Specialty Hospital, Inc.
• St. Vincent Seton Specialty Hospital, Inc. (Ascension St. Vincent Seton Specialty Hospital)
• St. Vincent Women's Health Boutique
• St. Vincents Sports Performance
• Allan Senador Sta. Rosa
• Hannah Staats-Ciotola, MD
• Annemarie Stacey
• Madison Stacey, MD
• Michael T Stack, MD PHD
• Caitlin Joan Opal Stacy

• Occupational Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.