Individual provider Active NPI

Emily Wrisley, RT

  • Recreation Therapist
  • Smithfield, NC
National Provider Identifier
1912450438
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
1417 Issued in NC
Practice address
184 Uzzles Pond Rd
Smithfield, NC 27577-2757
Phone
(919) 915-1412
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 1417 NC Primary

Addresses

Primary practice location

184 Uzzles Pond Rd
Smithfield, NC 27577-2757

Mailing address

PO Box 222
Wilsons Mills, NC 27593-0222
Phone (919) 915-1412

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

LicenseStateTypeSpecialty
1417NCMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Case Management Services, LLC Recreation Therapist PastSince Oct 4, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1912450438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "WILSONS MILLS",
            "state": "NC",
            "postal_code": "275930222",
            "telephone_number": "919-915-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 UZZLES POND RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275772757",
            "telephone_number": "919-915-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRISLEY",
        "first_name": "EMILY",
        "credential": "RT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NC",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.