Individual provider Active NPI

Emilie Walker, OTR

  • Occupational Therapist
  • Yoakum, TX
National Provider Identifier
1902345952
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
118193 Issued in TX
Practice address
206 US Highway 77a S
Yoakum, TX 77995-1409
Phone
(361) 407-5091
Fax
(361) 238-5000
NPI assigned
Feb 22, 2017
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 118193 TX Primary

Addresses

Primary practice location

206 US Highway 77a S
Yoakum, TX 77995-1409

Mailing address

PO Box 248
Hallettsville, TX 77964-0248
Phone (361) 798-3500

Other practice location 1

105 Boehm Dr
Shiner, TX 77984-6288
Phone (361) 594-8301

Other practice location 2

203 N Main St
Hallettsville, TX 77964-2729
Phone (361) 798-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921002354 TX Practitioner - Occupational Therapist in Private Practice 0042617821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Hometown Physical Therapy, LLC Occupational Therapist CurrentSince Oct 4, 2021 Accepting new patients
Endeavor Rehab Center Inc Occupational Therapist PastSince Sep 12, 2021 Accepting new patients
TLC Kid's Therapy Occupational Therapist Past Accepting new patients

Locations

607 S Esplanade St
Ste 4
Cuero, TX 77954
Phone (361) 418-0033

203 N Main St
Hallettsville, TX 77964
Phone (361) 798-3500

105 Boehm Dr
Shiner, TX 77984
Phone (361) 594-8301

206 US Highway 77A S
Yoakum, TX 77995
Phone (361) 407-5091

Organizations & group practices 3

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1902345952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "HALLETTSVILLE",
            "state": "TX",
            "postal_code": "779640248",
            "telephone_number": "361-798-3500",
            "fax_number": "361-238-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 US HIGHWAY 77A S",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779951409",
            "telephone_number": "361-407-5091",
            "fax_number": "361-238-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Boehm Dr",
            "address_purpose": "LOCATION",
            "city": "Shiner",
            "state": "TX",
            "postal_code": "779846288",
            "country_code": "US",
            "telephone_number": "361-594-8301",
            "fax_number": "361-238-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 N Main St",
            "address_purpose": "LOCATION",
            "city": "Hallettsville",
            "state": "TX",
            "postal_code": "779642729",
            "country_code": "US",
            "telephone_number": "361-798-3500",
            "fax_number": "361-238-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "EMILIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yoakum, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.