Active NPI
Emily Marie King, OTR
- Occupational Therapist
- Danville, IN
National Provider Identifier
1609073113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31003739A
- Practice address
- 255 Meadow Dr
Danville, IN 46122-1415 - Phone
- (317) 745-5451
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 31003739A | IN | Primary |
Addresses
Primary practice location
255 Meadow Dr
Danville, IN 46122-1415
Mailing address
8369 N County Road 25 W
Bainbridge, IN 46105-9315
Phone (317) 874-8667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100266570A | Medicaid | IN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31003739A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1609073113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8369 N COUNTY ROAD 25 W",
"city": "BAINBRIDGE",
"state": "IN",
"postal_code": "461059315",
"telephone_number": "317-874-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 MEADOW DR",
"city": "DANVILLE",
"state": "IN",
"postal_code": "461221415",
"telephone_number": "317-745-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "EMILY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31003739A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100266570A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.