Individual provider Active NPI

Amy E Cauble, COTA/L

  • Occupational Therapy Assistant
  • Mount Pleasant, SC
National Provider Identifier
1063926772
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
3525 Issued in SC
Practice address
1308 Ventura PL
Mount Pleasant, SC 29464-9539
Phone
(843) 701-6858
NPI assigned
Nov 17, 2017
Last updated
Nov 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 10403 NC
Occupational Therapy Assistant 224Z00000X 213988 TX
Occupational Therapy Assistant 224Z00000X 3525 SC Primary

Addresses

Primary practice location

1308 Ventura PL
Mount Pleasant, SC 29464-9539

Mailing address

1308 Ventura PL
Mount Pleasant, SC 29464-9539
Phone (843) 701-6858

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

LicenseStateTypeSpecialty
3525SCMDGeneral Practice Dentistry
10403NCMDOccupational Therapy Assistant
213988TXMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1063926772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 VENTURA PL",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649539",
            "telephone_number": "843-701-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 VENTURA PL",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649539",
            "telephone_number": "843-701-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUBLE",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "10403",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213988",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.