Individual provider Active NPI

Emalie Logan Styles, MOTR/L

  • Occupational Therapist
  • Pompano Beach, FL
National Provider Identifier
1811355647
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17461 Issued in FL
Practice address
1955 N Federal Hwy
Suite 253
Pompano Beach, FL 33062-1028
Phone
(954) 580-2520
Fax
(954) 580-2521
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT17461 FL Primary

Addresses

Primary practice location

1955 N Federal Hwy
Suite 253
Pompano Beach, FL 33062-1028

Mailing address

1940 Harbourview Dr
Fort Lauderdale, FL 33316-3628
Phone (954) 260-3092

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

LicenseStateTypeSpecialty
OT17461FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Speech, Physical, and Occupational Therapy, Inc Past Accepting new patients
Kids Speech,Physical, and Occupational Therapy, Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1811355647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HARBOURVIEW DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163628",
            "telephone_number": "954-260-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 N FEDERAL HWY",
            "address_2": "SUITE 253",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621028",
            "telephone_number": "954-580-2520",
            "fax_number": "954-580-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYLES",
        "first_name": "EMALIE",
        "middle_name": "LOGAN",
        "name_prefix": "Miss",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.