Active NPI
Christine Einboden, OTR/L
- Pediatric Occupational Therapist
- Crystal River, FL
National Provider Identifier
1548288251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 10705
- Practice address
- 335 NE 10TH Ave
Crystal River, FL 34429-4456 - Phone
- (352) 795-5552
- Fax
- (352) 795-7751
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 10705 | FL | Primary |
Addresses
Primary practice location
335 NE 10TH Ave
Crystal River, FL 34429-4456
Mailing address
2200 W Tall Oaks Dr
Beverly Hills, FL 34465-2351
Phone (352) 746-7463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z036D | Other | FL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| OT 10705 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O. T. 4 Kids, Inc | Pediatrics | 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": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548288251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W TALL OAKS DR",
"city": "BEVERLY HILLS",
"state": "FL",
"postal_code": "344652351",
"telephone_number": "352-746-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 NE 10TH AVE",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294456",
"telephone_number": "352-795-5552",
"fax_number": "352-795-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EINBODEN",
"first_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT 10705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z036D",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.