Individual provider Active NPI

Elizabeth Harvey Baldwin, OTR/L

  • Occupational Therapist
  • Columbus, OH
National Provider Identifier
1386208338
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5901 Issued in OH
Practice address
30 Northwoods Blvd
Columbus, OH 43235-4716
Phone
(614) 545-8300
NPI assigned
Apr 25, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5901 OH Primary

Addresses

Primary practice location

30 Northwoods Blvd
Columbus, OH 43235-4716

Mailing address

105 W Clearview Ave
Worthington, OH 43085-4111
Phone (512) 569-5039

Other identifiers 2

IdentifierTypeStateIssuer
106487OtherNATIONAL BOARD OF CERTIFICATION IN OCCUPATIONAL THERAPY
OT-5901OtherOHSTATE OF OHIO OCCUPATIONAL THERAPY SECTION

Other names 1

  • Elizabeth Ann Harvey Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elizabeth@flourishohio.com Direct Flourish Integrated Therapy, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025002564 OH Practitioner - Occupational Therapist in Private Practice 1557894722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

5380 E Broad St
Columbus, OH 43213-1391
Phone (800) 444-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Aug 26, 2024 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Aug 26, 2024 Accepting new patients

Organizations & group practices 3

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386208338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W CLEARVIEW AVE",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854111",
            "telephone_number": "512-569-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354716",
            "telephone_number": "614-545-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "ELIZABETH",
        "middle_name": "HARVEY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "5901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "106487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO OCCUPATIONAL THERAPY SECTION",
            "identifier": "OT-5901",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elizabeth@flourishohio.com",
            "affiliation": "Y",
            "endpointDescription": "E-mail Address Provided by Employer",
            "affiliationName": "Flourish Integrated Therapy, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 Northwoods Blvd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432354716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HARVEY",
            "middle_name": "ANN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.