Individual provider Active NPI

Elizabeth Anne Fain, OTR L

  • Pediatric Occupational Therapist
  • Winston Salem, NC
National Provider Identifier
1932133311
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0839 Issued in NC
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7331042MedicaidNC
186542OtherNCREHABILITATIVE MEDICINE
31042OtherNCREHABILITATIVE MEDICINE
807864OtherNCREHABILITATIVE 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

LicenseStateTypeSpecialty
0839NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.