Active NPI
Caitlin Ann Eyberg, MS, OTR/L
- Occupational Therapist
- Clinton, MO
National Provider Identifier
1649549965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2007023078
- Practice address
- 1702 K and T Cir
Clinton, MO 64735-1937 - Phone
- (573) 808-6399
- NPI assigned
- Dec 14, 2011
- Last updated
- Dec 14, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2007023078 | MO | Primary |
Addresses
Primary practice location
1702 K and T Cir
Clinton, MO 64735-1937
Mailing address
1702 K and T Cir
Clinton, MO 64735-1937
Phone (573) 808-6399
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007023078 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1649549965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 K AND T CIR",
"city": "CLINTON",
"state": "MO",
"postal_code": "647351937",
"telephone_number": "573-808-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 K AND T CIR",
"city": "CLINTON",
"state": "MO",
"postal_code": "647351937",
"telephone_number": "573-808-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYBERG",
"first_name": "CAITLIN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2007023078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.