Individual provider Active NPI

Caroline Kingsley Boone, MOT, OTR/L

  • Occupational Therapist
  • Gainesville, FL
National Provider Identifier
1881274264
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21467 Issued in FL
Practice address
4001 Newberry Rd Ste B1
Gainesville, FL 32607-2300
Phone
(352) 283-0595
Fax
(352) 600-3385
NPI assigned
Apr 10, 2021
Last updated
Apr 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT21467 FL Primary

Addresses

Primary practice location

4001 Newberry Rd Ste B1
Gainesville, FL 32607-2300

Mailing address

4001 Newberry Rd Ste B1
Gainesville, FL 32607-2300
Phone (352) 283-0595

Other practice location 1

2086 SW Main Blvd Ste 103
Lake City, FL 32025-0006
Phone (352) 283-0595

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)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1881274264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 NEWBERRY RD STE B1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072300",
            "telephone_number": "352-283-0595",
            "fax_number": "352-600-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 NEWBERRY RD STE B1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072300",
            "telephone_number": "352-283-0595",
            "fax_number": "352-600-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2086 SW Main Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320250006",
            "country_code": "US",
            "telephone_number": "352-283-0595",
            "fax_number": "352-600-3385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "CAROLINE",
        "middle_name": "KINGSLEY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.