Healthcare Provider Details

I. General information

NPI: 1245799246
Provider Name (Legal Business Name): EMILY PAIGE BARTON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4408 N 46TH PL
PHOENIX AZ
85018-2902
US

IV. Provider business mailing address

4408 N 46TH PL
PHOENIX AZ
85018-2902
US

V. Phone/Fax

Practice location:
  • Phone: 630-666-1100
  • Fax:
Mailing address:
  • Phone: 630-666-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH-009549
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056014530
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-79721
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: