Individual provider Active NPI

Caitlin Suzanna Knox Cline

  • Occupational Therapist
  • Mount Airy, NC
National Provider Identifier
1336651330
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11505 Issued in NC
Practice address
1000 Ridge Crest LN
Mount Airy, NC 27030-2457
Phone
(336) 786-9100
NPI assigned
Oct 30, 2017
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11505 NC Primary
Occupational Therapist 225X00000X OT60791497 WA

Addresses

Primary practice location

1000 Ridge Crest LN
Mount Airy, NC 27030-2457

Mailing address

634 Parkway Blvd
Reidsville, NC 27320-6104

Other practice location 1

650 W Hemlock St
Sequim, WA 98382-3718
Phone (310) 963-8697

Other practice location 2

650 W Hemlock St
Sequim, WA 98382-3718
Phone (310) 963-8697

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
11505NCMDPhysical Therapist
OT60791497WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1336651330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 PARKWAY BLVD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273206104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIDGE CREST LN",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302457",
            "telephone_number": "336-786-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983823718",
            "country_code": "US",
            "telephone_number": "310-963-8697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 W Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983823718",
            "country_code": "US",
            "telephone_number": "310-963-8697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINE",
        "first_name": "CAITLIN",
        "middle_name": "SUZANNA KNOX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11505",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60791497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.