Active NPI
Emelda C Ngum, OTR
- Contractor
- Dayton, OH
National Provider Identifier
1780818500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- OT . 006484
- Practice address
- 1390 King Tree Dr
Dayton, OH 45405-1401 - Phone
- (540) 793-1845
- NPI assigned
- May 7, 2009
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | OT . 006484 | OH | Primary |
Addresses
Primary practice location
1390 King Tree Dr
Dayton, OH 45405-1401
Mailing address
3895 Mack Rd
#110
Fairfield, OH 45014-7655
Phone (513) 942-0227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICARE | Medicaid | OH |
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 |
|---|---|---|---|
| OT . 006484 | OH | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1780818500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3895 MACK RD",
"address_2": "#110",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147655",
"telephone_number": "513-942-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 KING TREE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454051401",
"telephone_number": "540-793-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUM",
"first_name": "EMELDA",
"middle_name": "C",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "OT . 006484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MEDICARE",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.