Emily Dalida Payne

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

09402 Issued in MD

Practice address

11614 Seven Locks Rd
Rockville, MD 20854-3261

Phone

(301) 469-0223

NPI assigned

Sep 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivymount Outreach Programs, Inc

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1881960912
  NPD (past)
• The Ivymount School, Inc

  • Developmentally Disabled Services Day Training Agency
  • Rockville, MD
  • NPI 1922485614
  NPD (past)

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1659040848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 SEVEN LOCKS RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543261",
            "telephone_number": "301-469-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 SEVEN LOCKS RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543261",
            "telephone_number": "301-469-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "EMILY",
        "middle_name": "DALIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "09402",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epayne@ivymount.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "11614 Seven Locks Rd",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208543261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Selvin Pavon Aguilar
• Venkateswara Rao Pavuluri, PHD; RPH
• Zohal Payman
• Brittany Payne
• Deidra Payne
• Kameka Payne
• Linnea Elizabeth Payne, MPSY
• Milan Payne
• Chelsie L Paynter, DPT
• Clara Kathleen Paynter, M.A.

• Occupational Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.