Active NPI
Elaina Carr
- Pediatric Occupational Therapist
- Crestview, FL
National Provider Identifier
1023769650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT21974
- Practice address
- 831 McCaskill St
Crestview, FL 32536-2757 - Phone
- (850) 634-6243
- Fax
- (850) 801-1118
- NPI assigned
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT21974 | FL | Primary |
Addresses
Primary practice location
831 McCaskill St
Crestview, FL 32536-2757
Mailing address
930 N Ferdon Blvd
Crestview, FL 32536-1706
Phone (850) 331-2987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT21974 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spot on Therapy PLLC | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1023769650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 N FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325361706",
"telephone_number": "850-331-2987",
"fax_number": "850-398-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 MCCASKILL ST",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325362757",
"telephone_number": "850-634-6243",
"fax_number": "850-801-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "ELAINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT21974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.