Individual provider Active NPI

Elizabeth Coate Christmas, OT

  • Occupational Therapist
  • Jacksonville, FL
National Provider Identifier
1932292307
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10276 Issued in FL
Practice address
14420 Conifer Cove Trail
Jacksonville, FL 32218
Phone
(904) 298-5744
NPI assigned
Sep 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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 OT10276 FL Primary

Addresses

Primary practice location

14420 Conifer Cove Trail
Jacksonville, FL 32218

Mailing address

14420 Conifer Cove Trail
Jacksonville, FL 32218
Phone (904) 298-5744

Other identifiers 1

IdentifierTypeStateIssuer
887008000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210001264 FL Practitioner - Occupational Therapist in Private Practice 9032502281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Lakewood Ranch, FL 34240
Phone (904) 412-2882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Therapy Services of North Florida, LLC CurrentSince Sep 23, 2024 Accepting new patients
Strive Healthcare LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

3948 3rd St S
Jax Bch, FL 32250
Phone (904) 285-9355

165 Silver Ln
Ofc
Saint Augustine, FL 32084
Phone (904) 930-4351

1093 A1A Beach Blvd
St Augustine Beach, FL 32080
Phone (904) 234-5322

Organizations & group practices 2

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1932292307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 CONIFER COVE TRAIL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-298-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 CONIFER COVE TRAIL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-298-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAS",
        "first_name": "ELIZABETH",
        "middle_name": "COATE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887008000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.