Active NPI
Kristin Lyn Emley, COTA
- Occupational Therapy Assistant
- Salamanca, NY
National Provider Identifier
1841516515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 004914-1
- Practice address
- 50 Iroquois Dr
Salamanca, NY 14779-1361 - Phone
- (716) 945-2400
- Fax
- (719) 945-3964
- NPI assigned
- Apr 20, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 004914-1 | NY | Primary |
Addresses
Primary practice location
50 Iroquois Dr
Salamanca, NY 14779-1361
Mailing address
44 Berg LN
Frewsburg, NY 14738-9588
Phone (716) 488-2322
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 |
|---|---|---|---|
| 004914-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1841516515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BERG LN",
"city": "FREWSBURG",
"state": "NY",
"postal_code": "147389588",
"telephone_number": "716-488-2322",
"fax_number": "716-488-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 IROQUOIS DR",
"city": "SALAMANCA",
"state": "NY",
"postal_code": "147791361",
"telephone_number": "716-945-2400",
"fax_number": "719-945-3964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMLEY",
"first_name": "KRISTIN",
"middle_name": "LYN",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "004914-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salamanca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.