Individual provider Active NPI

Emily Victoria Hopper, OTR/L

  • Occupational Therapist
  • Burgaw, NC
National Provider Identifier
1922643964
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11617 Issued in NC
Practice address
300 W Ashe St
Burgaw, NC 28425-5434
Phone
(910) 259-8070
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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 11617 NC Primary

Addresses

Primary practice location

300 W Ashe St
Burgaw, NC 28425-5434

Mailing address

775 Haywood Rd Ste H
Asheville, NC 28806-7111
Phone (828) 774-5222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231013001469 NC Practitioner - Occupational Therapist in Private Practice 6002261864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1200 Porters Neck Rd
Wilmington, NC 28411-7622
Phone (910) 218-1995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11617NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raise the Bar Therapy Services Occupational Therapist CurrentSince Sep 10, 2024 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Sep 6, 2023 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Sep 6, 2023 Accepting new patients
Bluewater Physician Services PastSince Nov 17, 2019 Accepting new patients
Broad River Rehabilitation Occupational Therapist PastSince Nov 17, 2019 Accepting new patients

Locations

18676 US Highway 17
Hampstead, NC 28443
Phone (910) 821-1700

18676 US Highway 17
Ste 10
Hampstead, NC 28443
Phone (910) 821-1700

2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123

1200 Porters Neck Rd
Wilmington, NC 28411
Phone (866) 806-6213

Organizations & group practices 5

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1922643964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 HAYWOOD RD STE H",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288067111",
            "telephone_number": "828-774-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ASHE ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255434",
            "telephone_number": "910-259-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "EMILY",
        "middle_name": "VICTORIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.