Individual provider Active NPI

Caitlin Ferguson, OTR/L

  • Pediatric Occupational Therapist
  • El Dorado Hills, CA
National Provider Identifier
1376043703
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
24386 Issued in CA
Practice address
4900 Windplay Dr
El Dorado Hills, CA 95762-9653
Phone
(916) 422-0571
NPI assigned
Feb 12, 2018
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 24386 CA Primary
Behavior Technician 106S00000X RBT-18-49456 CA

Addresses

Primary practice location

4900 Windplay Dr
El Dorado Hills, CA 95762-9653

Mailing address

151 N Sunrise Ave Ste 1105
Roseville, CA 95661-2931
Phone (916) 771-8255

Other practice location 1

151 N Sunrise Ave Ste 1105
Roseville, CA 95661-2931
Phone (909) 484-2848

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
RBT-18-49456CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Jabbergym CurrentSince Mar 26, 2023 Accepting new patients

Locations

4900 Windplay Dr
El Dorado Hills, CA 95762
Phone (209) 210-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1376043703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1105",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612931",
            "telephone_number": "916-771-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WINDPLAY DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629653",
            "telephone_number": "916-422-0571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 N Sunrise Ave Ste 1105",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612931",
            "country_code": "US",
            "telephone_number": "909-484-2848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "CAITLIN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "24386",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-49456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.