Active NPI
Emily Archer Connelly, MOT
- Occupational Therapist
- Lutz, FL
National Provider Identifier
1639936974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24896
- Practice address
- 18115 N US Highway 41 Ste 800
Lutz, FL 33549-6475 - Phone
- (813) 848-0341
- NPI assigned
- Mar 4, 2024
- Last updated
- Mar 4, 2024
- 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 | 24896 | FL | Primary |
Addresses
Primary practice location
18115 N US Highway 41 Ste 800
Lutz, FL 33549-6475
Mailing address
18115 N US Highway 41 Ste 800
Lutz, FL 33549-6475
Phone (813) 848-0341
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 |
|---|---|---|---|
| 24896 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Therapy Inc. | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1639936974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18115 N US HIGHWAY 41 STE 800",
"city": "LUTZ",
"state": "FL",
"postal_code": "335496475",
"telephone_number": "813-848-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18115 N US HIGHWAY 41 STE 800",
"city": "LUTZ",
"state": "FL",
"postal_code": "335496475",
"telephone_number": "813-848-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "EMILY",
"middle_name": "ARCHER",
"name_prefix": "Mrs.",
"credential": "MOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "24896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.