Active NPI
Elizabeth Tara Cain, OTR/L
- Occupational Therapist
- Columbus, GA
National Provider Identifier
1184936668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004839
- Practice address
- 705 17TH St Ste 407
Columbus, GA 31901-3514 - Phone
- (706) 321-0930
- Fax
- (706) 571-0960
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT004839 | GA | Primary |
Addresses
Primary practice location
705 17TH St Ste 407
Columbus, GA 31901-3514
Mailing address
1711 Saint Elmo Dr Apt a
Columbus, GA 31901-1231
Phone (706) 366-2318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018074628A | Medicaid | GA |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance and Rehabilitation Centers, LLC | Past | Accepting new patients | |
| Human Performance and Rehabilitation Centers, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Columbia, SC
- NPI 1417029513
-
- Physical Therapy Clinic/Center
- Columbia, SC
- NPI 1992394779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1184936668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 SAINT ELMO DR APT A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011231",
"telephone_number": "706-366-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 17TH ST STE 407",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319013514",
"telephone_number": "706-321-0930",
"fax_number": "706-571-0960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "ELIZABETH",
"middle_name": "TARA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018074628A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.