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Emma Faith Willis , COTA, L

Occupational Therapy Assistant β€’ Medford, OR

Active NPI 1497441117 Individual Practitioner Female Practitioner
Practice location in NPPES

400 Crater Lake Ave
Medford, OR 975046808

Call 5416136505 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 Crater Lake Ave

Medford, OR 975046808

Telephone 5416136505
Fax 5417709212
Organization at the Same NPPES Address or Phone
Trillium Waterbirth Center Facility NPI 1811284409

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Grants Pass, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Medford and Oregon

18 active clinicians are listed under Occupational Therapy Assistant with a practice address in Medford, OR (389 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Medford

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-15
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

License # reported to NPPES OR 478687

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Emergency Medical Technician, Basic

NUCC Taxonomy Code: 146N00000X

License # reported to NPPES VA E3175145

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

1710 Ne Fairview Ave

Grants Pass, OR 975263877

Phone: 5414792606

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Amilia Elliott , DPT

Physical Therapist

NPI 1295823938

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 15, 2024

Recorded as EMMA WILLIS, COTA/L

πŸ“
Updated Practice Location May 12, 2023

Registered at 400 CRATER LAKE AVE, MEDFORD, OR 975046808 (Tel: 5416136505)

πŸ“
Updated Business Mailing Address May 12, 2023

Registered at 113 N ELM ST, CANBY, OR 970133519 (Tel: 5032638903)

βœ…
NPI Profile Active April 14, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 14, 2023

Registered at 2900 NW VINE ST, GRANTS PASS, OR 975268411 (Tel: 5418164747)

πŸ“
Business Mailing Address (Initial Record) April 14, 2023

Registered at 122 SW SUSAN LN, GRANTS PASS, OR 975265934 (Tel: 2766989606)

πŸ‘€
Provider Name / Credentials (Initial Record) April 14, 2023

Recorded as EMMA TILTON, COTA/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2023

Emergency Medical Technician, Basic (license number reported to NPPES: VA E3175145)

🟒
Initial NPI Registration & Enumeration April 14, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497441117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2023
Last Update: July 15, 2024
Sole Proprietor: No

Mailing Address

113 N Elm St

Canby, OR 970133519

Phone: 5032638903

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.