Individual provider Active NPI

Hannah Kristine Elizabeth Booth, OTR/L

  • Occupational Therapist
  • Morehead City, NC
National Provider Identifier
1780102111
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15796 Issued in NC
Practice address
4218M Arendell St
Morehead City, NC 28557-2866
Phone
(252) 808-3100
Fax
(252) 808-3120
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056012047 IL
Occupational Therapist 225X00000X 19925 CA
Occupational Therapist 225X00000X 15796 NC Primary

Addresses

Primary practice location

4218M Arendell St
Morehead City, NC 28557-2866

Mailing address

355 E Erie St.
Chicago, IL 60611-2654
Phone (312) 238-1000

Other practice location 1

233 Killgore St
Oceanside, CA 92058-7774
Phone (218) 340-6252

Other practice location 2

1165 Cedar Point Blvd Ste M
Cedar Point, NC 28584-1030
Phone (252) 808-4450

Other practice location 3

355 E Erie St.
Chicago, IL 60611-2654
Phone (312) 238-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15796NCMDMental Health Counselor
056012047ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richards Physical Therapy Inc Occupational Therapist PastSince Apr 23, 2019 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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1780102111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E ERIE ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112654",
            "telephone_number": "312-238-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218M ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572866",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Killgore St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920587774",
            "country_code": "US",
            "telephone_number": "218-340-6252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1165 Cedar Point Blvd Ste M",
            "address_purpose": "LOCATION",
            "city": "Cedar Point",
            "state": "NC",
            "postal_code": "285841030",
            "country_code": "US",
            "telephone_number": "252-808-4450",
            "fax_number": "252-764-2442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 E Erie St.",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112654",
            "country_code": "US",
            "telephone_number": "312-238-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "HANNAH",
        "middle_name": "KRISTINE ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012047",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "19925",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.