Active NPI
Hannah Kristine Elizabeth Booth, OTR/L
- Occupational Therapist
- Morehead City, NC
National Provider Identifier
1780102111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15796
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15796 | NC | MD | Mental Health Counselor |
| 056012047 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richards Physical Therapy Inc | 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.
-
- Orthotic Fitter
- Mission Viejo, CA
- NPI 1285820183
Occupational Therapist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.