Active NPI
Elizabeth Anne Fain, OTR L
- Pediatric Occupational Therapist
- Winston Salem, NC
National Provider Identifier
1932133311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0839
- Practice address
- 2315 Coliseum Dr
Winston Salem, NC 27106-5801 - Phone
- (336) 727-2440
- Fax
- (336) 727-2873
- NPI assigned
- Jul 10, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0839 | NC | |
| Pediatric Occupational Therapist | 225XP0200X | 0839 | NC | Primary |
Addresses
Primary practice location
2315 Coliseum Dr
Winston Salem, NC 27106-5801
Mailing address
2713 Tudor Rd
Winston Salem, NC 27106-5215
Phone (336) 725-2817
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7331042 | Medicaid | NC | |
| 186542 | Other | NC | REHABILITATIVE MEDICINE |
| 31042 | Other | NC | REHABILITATIVE MEDICINE |
| 807864 | Other | NC | REHABILITATIVE MEDICINE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0839 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodyworks, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- King, NC
- NPI 1871527242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1932133311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 TUDOR RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271065215",
"telephone_number": "336-725-2817",
"fax_number": "336-983-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 COLISEUM DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271065801",
"telephone_number": "336-727-2440",
"fax_number": "336-727-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "0839",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "0839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7331042",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHABILITATIVE MEDICINE",
"identifier": "186542",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHABILITATIVE MEDICINE",
"identifier": "31042",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHABILITATIVE MEDICINE",
"identifier": "807864",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.