Active NPI
Emily Jollota, MSOTR/L
- Pediatric Occupational Therapist
- Verona, WI
National Provider Identifier
1851819882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 6776-26
- Practice address
- 411 Prairie Heights Dr Ste 101
Verona, WI 53593-2238 - Phone
- (608) 556-6120
- NPI assigned
- Aug 30, 2017
- Last updated
- Sep 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006818 | GA | |
| Pediatric Occupational Therapist | 225XP0200X | 6776-26 | WI | Primary |
Addresses
Primary practice location
411 Prairie Heights Dr Ste 101
Verona, WI 53593-2238
Mailing address
720 E Gorham St Apt 203
Madison, WI 53703-1589
Phone (912) 988-1526
Other practice location 1
110 Pipemakers Cir Ste 115
Pooler, GA 31322-4168
Phone (912) 988-1526
Other names 1
- Emily Shiflet
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 |
|---|---|---|---|
| OT006818 | GA | MD | Occupational Therapist |
| 6776-26 | WI | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatterbox Pediatric Therapy | Past | Accepting new patients | |
| Aspire Therapy and Development Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Verona, WI
- NPI 1932594512
-
- Speech-Language Pathologist
- Pooler, GA
- NPI 1700160355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1851819882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E GORHAM ST APT 203",
"city": "MADISON",
"state": "WI",
"postal_code": "537031589",
"telephone_number": "912-988-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 PRAIRIE HEIGHTS DR STE 101",
"city": "VERONA",
"state": "WI",
"postal_code": "535932238",
"telephone_number": "608-556-6120"
}
],
"practiceLocations": [
{
"address_1": "110 Pipemakers Cir Ste 115",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "313224168",
"country_code": "US",
"telephone_number": "912-988-1526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOLLOTA",
"first_name": "EMILY",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006818",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WI",
"license": "6776-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "SHIFLET",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Verona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.