NPIMap

Organization Active NPI

Edema Therapy Company

  • Occupational Therapist
  • Daphne, AL
National Provider Identifier
1972283315
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
EDEMA THERAPY COMPANY
Practice address
790A Daphne Ave
Daphne, AL 36526-4657
Phone
(251) 408-9287
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Celina L Hansen, OT/L, CLTNPI 1619148574
Title
Co-Owner
Phone
(251) 408-9287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

790A Daphne Ave
Daphne, AL 36526-4657

Mailing address

790A Daphne Ave
Daphne, AL 36526-4657
Phone (251) 408-9287

Other practice location 1

12456 Sandy Ln
Foley, AL 36535-4915
Phone (251) 533-4651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240703000348 AL DME Supplier - Independently-Practicing Occupational Therapist 1759507940 Practice locations: Daphne, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Edema Therapy Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

790A Daphne Ave
Daphne, AL 36526
Phone (251) 408-9287

12456 Sandy Ln
Foley, AL 36535
Phone (251) 533-4651

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1972283315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790A DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264657",
            "telephone_number": "251-408-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790A DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264657",
            "telephone_number": "251-408-9287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12456 Sandy Ln",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365354915",
            "country_code": "US",
            "telephone_number": "251-533-4651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDEMA THERAPY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CELINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "251-408-9287",
        "authorized_official_credential": "OT/L, CLT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.

Verify at the official NPI Registry.