Emily Liddon, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3496 Issued in MS

Practice address

7712 Old Canton Rd
Madison, MS 39110-9299

Phone

(601) 427-5775

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1720566672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 WINCHESTER ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115641",
            "telephone_number": "662-590-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 OLD CANTON RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109299",
            "telephone_number": "601-427-5775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "662-590-5842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIDDON",
        "first_name": "EMILY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP FOR A FOCUSED BRAIN, LLC",
            "identifier": "1508125899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nicole Lee, DMD
• Taylor Crawford Lee, MOT
• Molly Dallas Lemoine, FNP-C
• Marjorie Lenoir, OD
• Carmen Marie Lewis, PHARMD
• Andrea Heard Liess, P.T.
• Life Source Services, LLC (Pax Hospice (Madison))
• Lifeworks Counseling
• Kristin Lindley, PT, DPT
• Madison Lindsey, RD

• Occupational Therapist in Madison, MS
• Providers in Madison, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.