Individual provider Active NPI

Elizabeth Ann Fink, MOTR/L

  • Occupational Therapist
  • High Point, NC
National Provider Identifier
1336396456
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6417 Issued in NC
Practice address
4144 Mendenhall Oaks Pkwy Ste 101
High Point, NC 27265-8034
Phone
(336) 804-3004
Fax
(336) 645-3300
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2084 ME
Occupational Therapist 225X00000X 10098 CA
Occupational Therapist 225X00000X 6417 NC Primary

Addresses

Primary practice location

4144 Mendenhall Oaks Pkwy Ste 101
High Point, NC 27265-8034

Mailing address

5305 Winthrop Dr
Greensboro, NC 27407-9798
Phone (336) 314-7978

Other practice location 1

509 N Elam Ave Fl 2
Greensboro, NC 27403-1157
Phone (336) 274-1114

Other identifiers 1

IdentifierTypeStateIssuer
177FKOtherNCBCBS

Other names 1

  • Miss Elizabeth Ann McGuire Former name

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

State licenses

LicenseStateTypeSpecialty
2084MEMDOccupational Therapist
6417NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Occupational Therapist Past 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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1336396456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 WINTHROP DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274079798",
            "telephone_number": "336-314-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 MENDENHALL OAKS PKWY STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658034",
            "telephone_number": "336-804-3004",
            "fax_number": "336-645-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 N Elam Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031157",
            "country_code": "US",
            "telephone_number": "336-274-1114",
            "fax_number": "336-274-9638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINK",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "2084",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10098",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "177FK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MCGUIRE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.