Emily Jean Campbell, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT15000 Issued in 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

Last updated

Jul 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crena Kersey Pediatric Occupational Therapist PA

  • Occupational Therapist
  • Fort Walton Beach, FL
  • NPI 1508943820
  NPD
• Pediatric Occupational Therapist PA

  • Early Intervention Provider Agency
  • Fort Walton Beach, FL
  • NPI 1972266104
  NPD

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1962745646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHERWOOD DR",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791024",
            "telephone_number": "408-786-7679",
            "fax_number": "850-244-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 KIDD ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484478",
            "telephone_number": "850-582-2689",
            "fax_number": "850-244-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT15000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilio Claudio Calabrese, MD
• Liane Cali
• Lida Calvo
• Anthony Michael Camargo, MD
• Bailey Campbell, AU.D.
• Sarah Campbell, PT, DPT
• Claudia Fernanda Campuzano, PHYSICIAN ASSISTANT
• Can Community Health, Inc.
• Cara Mae Canny
• Larissa Caputo

• Pediatric Occupational Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.