Provider Demographics
NPI:1407846447
Name:CATON, ELISE (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ELISE
Middle Name:
Last Name:CATON
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MS
Other - First Name:ELISE
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:13568 NW 1ST LN STE 1
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32669-3467
Mailing Address - Country:US
Mailing Address - Phone:352-505-6339
Mailing Address - Fax:352-331-9621
Practice Address - Street 1:13568 NW 1ST LN STE 1
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32669-3467
Practice Address - Country:US
Practice Address - Phone:352-505-6339
Practice Address - Fax:352-331-9621
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X, 225XP0200X
FLOT11330225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL889781600Medicaid
FLZ068NOtherBLUE CROSS BLUE SHIELD