=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477351419
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMMA HAMPTON OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2025
-----------------------------------------------------
Last Update Date | 03/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 112 N 16TH ST
-----------------------------------------------------
City | OPELIKA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36801-5656
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-610-0033
-----------------------------------------------------
Fax | 855-955-2544
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2011 PATRICK ST
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36879-3529
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-301-3981
-----------------------------------------------------
Fax | 844-955-2544
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 6549
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------