Individual provider Active NPI

Emily Eden Johnston, OTR/L

  • Pediatric Occupational Therapist
  • Easton, MD
National Provider Identifier
1649818543
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
08906 Issued in MD
Practice address
12 Magnolia St
Easton, MD 21601-3657
Phone
(410) 822-0330
NPI assigned
Dec 11, 2019
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 08906 MD Primary

Addresses

Primary practice location

12 Magnolia St
Easton, MD 21601-3657

Mailing address

745 Wye Oak Dr
Fruitland, MD 21826-1929
Phone (443) 783-6758

Other practice location 1

745 Wye Oak Drive
Salisbury, MD 21804-4500
Phone (410) 546-2894 ext. 44378

Other practice location 2

100 Enterprise Pl Ste 1
Dover, DE 19904-8202
Phone (302) 678-3353

Other names 1

  • Emily Eden Schofield Former name

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

LicenseStateTypeSpecialty
08906MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Delaware & Marylands Eastern Shore, Inc CurrentSince Jun 10, 2024 Accepting new patients
Talbot County Public Schools PastSince Feb 7, 2021 Accepting new patients
Talbot County Public Schools Infant & Toddler Program PastSince Feb 7, 2021 Accepting new patients

Locations

100 Enterprise Pl
Ste 1
Dover, DE 19904
Phone (302) 678-3353

Organizations & group practices 3

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1649818543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 WYE OAK DR",
            "city": "FRUITLAND",
            "state": "MD",
            "postal_code": "218261929",
            "telephone_number": "443-783-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAGNOLIA ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013657",
            "telephone_number": "410-822-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Wye Oak Drive",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218044500",
            "country_code": "US",
            "telephone_number": "410-546-2894 x44378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Enterprise Pl Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199048202",
            "country_code": "US",
            "telephone_number": "302-678-3353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "EMILY",
        "middle_name": "EDEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "08906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SCHOFIELD",
            "middle_name": "EDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.