Individual provider Active NPI

Emily C Jeter, OT

  • Occupational Therapist
  • Washington, DC
National Provider Identifier
1902968225
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT616 Issued in DC
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
01588MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban/NRH Medical Rehabilitation Inc Occupational Therapist Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.