Individual provider Active NPI

Emily S Shuster, OTR/L

  • Occupational Therapist
  • Roswell, GA
National Provider Identifier
1558635870
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15040 Issued in FL
Practice address
1000 Holcomb Woods Pkwy Ste 422
Roswell, GA 30076-4718
Phone
(770) 641-8070
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15040 FL Primary

Addresses

Primary practice location

1000 Holcomb Woods Pkwy Ste 422
Roswell, GA 30076-4718

Mailing address

1000 Holcomb Woods Pkwy Ste 422
Roswell, GA 30076-4718
Phone (770) 641-8070

Other practice location 1

12301 Taft St
Suite 200
Pembroke Pines, FL 33026-4387
Phone (954) 312-3449

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15040FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Childrens Therapy Center Occupational Therapist CurrentSince Jun 18, 2023 Accepting new patients
Van Varick Pediatric Physical Therapy PastSince Mar 29, 2020 Accepting new patients

Locations

1000 Holcomb Woods Pkwy
Ste 422
Roswell, GA 30076
Phone (770) 641-8070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1558635870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOLCOMB WOODS PKWY STE 422",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764718",
            "telephone_number": "770-641-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOLCOMB WOODS PKWY STE 422",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764718",
            "telephone_number": "770-641-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12301 Taft St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330264387",
            "country_code": "US",
            "telephone_number": "954-312-3449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUSTER",
        "first_name": "EMILY",
        "middle_name": "S",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "15040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.