IndividualActive
Emma Willis, COTA/L
NPI 1497441117 · Occupational Therapy Assistant · Medford, OR
Provider details
- NPI number
- 1497441117
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- E3175145 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Emergency Medical Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Crater Lake Ave
Medford, OR 97504-6808
Phone: (541) 613-6505
Fax: (541) 770-9212
Street-level locationGet directions
Mailing address
113 N Elm St
Canby, OR 97013-3519
Additional practice locations (1)
- 1710 Ne Fairview AveGrants Pass, OR 97526-3877Phone: (541) 479-2606
Registry dates
- Enumerated
- 2023-04-14
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.