Individual provider Active NPI

Emily A O'Donnell, OT

  • Occupational Therapist
  • Orangeburg, SC
National Provider Identifier
1881826865
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3499 Issued in SC
Practice address
1732 Village Park Dr
Orangeburg, SC 29118-2457
Phone
(803) 534-2251
Fax
(803) 534-7636
NPI assigned
Aug 10, 2009
Last updated
Aug 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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 3499 SC Primary

Addresses

Primary practice location

1732 Village Park Dr
Orangeburg, SC 29118-2457

Mailing address

710 Rabon Rd
Suite 203
Columbia, SC 29203-8903
Phone (803) 419-1777

Other names 1

  • Ms. Emily A Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308002773 MI Practitioner - Occupational Therapist in Private Practice 2163699497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy, PLLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

18 N Washington St
Ste A
Oxford, MI 48371
Phone (248) 460-1572

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1881826865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 RABON RD",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038903",
            "telephone_number": "803-419-1777",
            "fax_number": "803-419-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 VILLAGE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182457",
            "telephone_number": "803-534-2251",
            "fax_number": "803-534-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "EMILY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "THOMPSON",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.