Active NPI
Emily Rexrode Commander, OT/L
- Gerontology Occupational Therapist
- Burlington, NC
National Provider Identifier
1780224980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 9129
- Practice address
- 2680 S Mebane St
Burlington, NC 27215-5695 - Phone
- (336) 227-0590
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 9129 | NC | Primary |
Addresses
Primary practice location
2680 S Mebane St
Burlington, NC 27215-5695
Mailing address
5116 Oakbrook Dr
Durham, NC 27713-8004
Phone (401) 741-4252
Other names 1
- Emily Kathryn Rexrode
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 |
|---|---|---|---|
| 9129 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1780224980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 OAKBROOK DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138004",
"telephone_number": "401-741-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 S MEBANE ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155695",
"telephone_number": "336-227-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMMANDER",
"first_name": "EMILY",
"middle_name": "REXRODE",
"name_prefix": "Mrs.",
"credential": "OT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-15",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NC",
"license": "9129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "REXRODE",
"middle_name": "KATHRYN",
"credential": "OT/L",
"code": "1",
"type": "Former Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.