Emily Sumner, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056010457 Issued in IL

Practice address

3905 W Ernestine Dr
Suite B
Marion, IL 62959-5800

Phone

(618) 993-6237

Fax

(618) 997-3529

NPI assigned

Feb 28, 2014

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 names 1

• Emily Wilson Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joyner Therapy ServicesGroup PAC ID 4284659657, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Joyner Therapy Services

  • Physical Therapy Clinic/Center
  • Marion, IL
  • NPI 1144416736
  Medicare reassignment Care Compare group NPD
• Occupational Performance and Rehab, PC

  • Occupational Therapist
  • Marion, IL
  • NPI 1689746216
  NPD (past)
• Performance Chiropractic of Southern Illinois LLC

  • Chiropractor
  • Marion, IL
  • NPI 1538314414
  NPD (past)

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1801211784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 W ERNESTINE DR",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595800",
            "telephone_number": "618-993-6237",
            "fax_number": "618-997-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 W ERNESTINE DR",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595800",
            "telephone_number": "618-993-6237",
            "fax_number": "618-997-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "EMILY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WILSON",
            "credential": "OTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Stultz, BA
• Risa Stutz, MSW,LCSW
• NA Su, M.D., PH.D.
• Lesa Jan Suits
• Miranda L Sullivan
• Sunshine Gardens Nursing & Rehab LLC
• Sarah Renee Surprenant, OTR/L
• China Sutton
• Karen Jean Sutton
• Tiffiny Sweet, RN

• Occupational Therapist in Marion, IL
• Providers in Marion, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.