Emily Vestal Faulkenberry, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2583 Issued in SC

Practice address

112 Woodglen LN
Chapin, SC 29036-7514

Phone

(803) 422-3458

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Gimme Five, PLLC

  • Pediatric Occupational Therapist
  • Chapin, SC
  • NPI 1871811695

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1851344477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WOODGLEN LN",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367514",
            "telephone_number": "803-422-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WOODGLEN LN",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367514",
            "telephone_number": "803-422-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKENBERRY",
        "first_name": "EMILY",
        "middle_name": "VESTAL",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1377/GP3522",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Duke Eubanks, SLP
• Joseph A Evans Jr., MD
• Extraordinary, Personalized in Home Care
• Eye Care Associates of SC LLC
• William Campbell Falls
• Heather L. Frederick, PT
• Terri W Frick, BS RPH
• G V Long D. C.
• Gladys McDaniel Gaillard-McBride
• Louis Joseph Gallagher, PH.D.

• All providers in Chapin, SC
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.