Caroline McGavock, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT25991 Issued in FL

Practice address

124 John King Rd
Crestview, FL 32539-8306

Phone

(850) 634-6020

NPI assigned

Mar 10, 2025

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 850 Therapy, LLC

  • Speech-Language Pathologist
  • Crestview, FL
  • NPI 1013783711
  NPD
• Exit 56 Therapy Group LLC

  • Clinical Social Worker
  • Crestview, FL
  • NPI 1013733799

  Pediatrics

  NPD

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1275332736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 PINE NEEDLE WAY",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597921",
            "telephone_number": "806-782-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 JOHN KING RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398306",
            "telephone_number": "850-634-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAVOCK",
        "first_name": "CAROLINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT25991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela McClaskey, QASP-S
• Renee Rowe McCormack, ARNP
• Stephen McCrea II, LMHC
• Elizabeth Ann McDowell, PNP
• Ranisha Elouise McDowell
• Jacqueline McGrath, PA
• Miriam McGriff, LCSW
• Serall Elise McGriff, HCA/NURSE
• Brittany Anne McGuire, CRNA
• Michele McIntyre, RBT

• Pediatric Occupational Therapist in Crestview, FL
• Providers in Crestview, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.