Active NPI
Elise Caton, MOT, OTR/L
- Pediatric Occupational Therapist
- Jonesville, FL
National Provider Identifier
1407846447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT11330
- Practice address
- 13568 NW 1St LN Ste 1
Jonesville, FL 32669-3467 - Phone
- (352) 505-6339
- Fax
- (352) 331-9621
- NPI assigned
- Oct 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | OT11330 | FL | Primary |
Addresses
Primary practice location
13568 NW 1St LN Ste 1
Jonesville, FL 32669-3467
Mailing address
13568 NW 1St LN Ste 1
Jonesville, FL 32669-3467
Phone (352) 505-6339
Other practice location 1
7520 W University Ave
Suite D
Gainesville, FL 32607-7611
Phone (352) 505-6339
Other practice location 2
7520 W University Ave
Suite D
Gainesville, FL 32607-7611
Phone (352) 505-6339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889781600 | Medicaid | FL | |
| Z068N | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Ms. Elise Moore
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT11330 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lamp Post Therapy Center, LLC. | 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.
-
- Occupational Therapist
- Jonesville, FL
- NPI 1104053990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1407846447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13568 NW 1ST LN STE 1",
"city": "JONESVILLE",
"state": "FL",
"postal_code": "326693467",
"telephone_number": "352-505-6339",
"fax_number": "352-331-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13568 NW 1ST LN STE 1",
"city": "JONESVILLE",
"state": "FL",
"postal_code": "326693467",
"telephone_number": "352-505-6339",
"fax_number": "352-331-9621"
}
],
"practiceLocations": [
{
"address_1": "7520 W University Ave",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326077611",
"country_code": "US",
"telephone_number": "352-505-6339",
"fax_number": "352-505-6340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7520 W University Ave",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326077611",
"country_code": "US",
"telephone_number": "352-505-6339",
"fax_number": "352-505-6340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CATON",
"first_name": "ELISE",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT11330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889781600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z068N",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELISE",
"last_name": "MOORE",
"prefix": "MS.",
"credential": "MOT, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jonesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.