Active NPI
Emily Edwards, MOT, OTR/L
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1942723812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6959
- Practice address
- 1802 W Parkside LN
Phoenix, AZ 85027-1322 - Phone
- (602) 943-5472
- NPI assigned
- Jul 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6959 | AZ | Primary |
Addresses
Primary practice location
1802 W Parkside LN
Phoenix, AZ 85027-1322
Mailing address
1802 W Parkside LN
Phoenix, AZ 85027-1322
Phone (602) 943-5472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6959 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| United Cerebral Palsy Association of Central Arizona | Past | Accepting new patients |
Locations
3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
Organizations & group practices 4
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.
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- NPI 1336472448
-
- Emergency Medicine Physician
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- NPI 1144624339
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1881927994
-
- Developmentally Disabled Services Day Training Agency
- Phoenix, AZ
- NPI 1982673992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942723812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 W PARKSIDE LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271322",
"telephone_number": "602-943-5472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 W PARKSIDE LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271322",
"telephone_number": "602-943-5472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "EMILY",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "6959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.