Emily Jean Campbell, OTRL
Individual provider Active NPI Pediatric Occupational Therapist · Fort Walton Beach, FL
NPI 1962745646 · NPPES record last updated Jul 15, 2019
Key facts
- NPI
- 1962745646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- OT15000 (FL)
- Practice address
- 266 Kidd St
Fort Walton Beach, FL 32548-4478 - Phone
- (850) 582-2689
- Fax
- (850) 244-0971
- NPI assigned
- Apr 1, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT15000 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Occupational Therapist PA | Current |
Accepting new patients | |
| Crena Kersey Pediatric Occupational Therapist PA | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT15000 | FL | Yes |
Addresses
Primary practice location
266 Kidd St
Fort Walton Beach, FL 32548-4478
Mailing address
2 Sherwood Dr
Shalimar, FL 32579-1024
Phone (408) 786-7679
Other providers in Fort Walton Beach, FL
- Emilio Claudio Calabrese
- Liane Cali
- Lida Calvo
- Anthony Michael Camargo
- Bailey Campbell
- Sarah Campbell
- Claudia Fernanda Campuzano
- Can Community Health, Inc.
- Cara Mae Canny
- Larissa Caputo
All providers in Fort Walton Beach, FL · Pediatric Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.