Active NPI
Emily C Jeter, OT
- Occupational Therapist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT616
- Practice address
- 1025 Connecticut Ave NW Ste 417
Washington, DC 20036-5458 - Phone
- (025) 287-2232
- Fax
- (202) 293-2296
- NPI assigned
- Dec 14, 2006
- Last updated
- Mar 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT616 | DC | |
| Occupational Therapist | 225X00000X | OT616 | DC | Primary |
Addresses
Primary practice location
1025 Connecticut Ave NW Ste 417
Washington, DC 20036-5458
Mailing address
1025 Connecticut Ave NW Ste 417
Washington, DC 20036-5458
Phone (202) 528-7223
Other practice location 1
10560 Main St Ste 305
Fairfax, VA 22030-7175
Phone (703) 717-5667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040729001342 | DC | Practitioner - Occupational Therapist in Private Practice | 4880664432 | Practice locations: Washington, DC |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1025 Connecticut Ave NW
Suite 417
Washington, DC 20036-5407
Phone (202) 528-7223
1900 L St NW
Suite 607
Washington, DC 20036-5047
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01588 | MD | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban/NRH Medical Rehabilitation Inc | Occupational Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/c2a9aaad-29f4-4d5d-87b0-388c13a9b433/
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.
-
dba Jeter Rehab Services
- Physical Rehabilitation Occupational Therapist
- Washington, DC
- NPI 1891176418
-
dba NRH Rehabilitation Network at Bethesda
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1902968225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 CONNECTICUT AVE NW STE 417",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200365458",
"telephone_number": "202-528-7223",
"fax_number": "202-293-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 CONNECTICUT AVE NW STE 417",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200365458",
"telephone_number": "025-287-2232",
"fax_number": "202-293-2296"
}
],
"practiceLocations": [
{
"address_1": "10560 Main St Ste 305",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220307175",
"country_code": "US",
"telephone_number": "703-717-5667",
"fax_number": "202-528-7223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JETER",
"first_name": "EMILY",
"middle_name": "C",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DC",
"license": "OT616",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DC",
"license": "OT616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.