MRS. CHRISTINE M CAVANAUGH (OTR/L) – Occupational Therapist, NPI 1356527618

MRS. CHRISTINE M CAVANAUGH (OTR/L) is a healthcare provider. based in Roswell, Georgia. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. OT001809 (GA). The NPI Number for MRS. CHRISTINE M CAVANAUGH (OTR/L) is 1356527618

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTINE M CAVANAUGH (OTR/L)
NPI
1356527618
Phone
(770) 641-9239
Address
345 RIDGE CT
Enumeration Date
17 January 2008
Last Update Date
17 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4048759011
Graduation Year
1994 (32 years ago)
PAC ID
5294172334
Group Practice PAC ID
8527009034
Professional Enrollment ID
I20240325001902
Address ID
GA303081137AT739XXNWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

486 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for MRS. CHRISTINE M CAVANAUGH (OTR/L)

  • 345, Ridge Court, Studdiford, Roswell, Fulton, Georgia, 30076, United States

    ROSWELL, GA 300762620

    Phone: (770) 641-9239

    Fax: (770) 641-9335

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240325001902IOccupational Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527009034View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeAL
Occupational Therapist In Private PracticeGA
O P T O M E T R YGA
Occupational Therapist In Private PracticeGA
O P T O M E T R YGA
Occupational Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What federal number belongs to MRS. CHRISTINE M CAVANAUGH (OTR/L)?
The federal identifier for MRS. CHRISTINE M CAVANAUGH (OTR/L) is NPI 1356527618.
Is MRS. CHRISTINE M CAVANAUGH (OTR/L)'s NPI currently valid?
The extract we use shows MRS. CHRISTINE M CAVANAUGH (OTR/L) as active.
Does MRS. CHRISTINE M CAVANAUGH (OTR/L) list a primary specialty?
If you are matching referrals, note Occupational Therapist for MRS. CHRISTINE M CAVANAUGH (OTR/L). Clinical services aligned with this taxonomy classification.
Does MRS. CHRISTINE M CAVANAUGH (OTR/L) practice in Georgia?
You will see Roswell, Georgia on file for MRS. CHRISTINE M CAVANAUGH (OTR/L) alongside any extra practice locations.
What if Roswell, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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