Active NPI
Emmeral Jones
- Gerontology Occupational Therapist
- Bradenton, FL
National Provider Identifier
1619374279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- OT 5254
- Practice address
- 916 8TH St E
Bradenton, FL 34208-2616 - Phone
- (904) 521-3385
- NPI assigned
- Nov 25, 2014
- 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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | OT 5254 | FL | Primary |
Addresses
Primary practice location
916 8TH St E
Bradenton, FL 34208-2616
Mailing address
916 8TH St E
Bradenton, FL 34208-2616
Phone (904) 521-3385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT 5254 | Other | FL | FL CERTIFICATION |
Other names 1
- Emmeral La Don Sims
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 |
|---|---|---|---|
| OT 5254 | FL | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1619374279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 8TH ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342082616",
"telephone_number": "904-521-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 8TH ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342082616",
"telephone_number": "904-521-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "EMMERAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "FL",
"license": "OT 5254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL CERTIFICATION",
"identifier": "OT 5254",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMMERAL",
"last_name": "SIMS",
"middle_name": "LA DON",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.