Catherine Niccole Lide · Occupational Therapist

12060 Etris Rd Ste F100, Roswell, GA 30075-1470

Overview

Catherine Niccole Lide is a Occupational Therapist practicing in Roswell, Georgia. The National Provider Identifier (NPI) is #1265312615, which was assigned on September 5, 2025, and the registration record was last updated on September 5, 2025. The practitioner's main practice location is at 12060 Etris Rd Ste F100, Roswell, GA 30075-1470; the contact telephone number is 7709989599. The primary taxonomy of Catherine Niccole Lide is Occupational Therapist (225X00000X). Catherine Niccole Lide is licensed to practice in the state of Georgia (#OT009659).

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Provider Information

NPI 1265312615
Entity Type Individual
Provider Name CATHERINE NICCOLE LIDE
Gender Female
Credential OTR/L
Practice Address 12060 Etris Rd Ste F100
Roswell
GA 30075-1470
Practice Telephone 7709989599
Mailing Address 12060 Etris Rd Ste F100
Roswell
GA 30075-1470
Mailing Telephone 7709989599
Mailing Fax Number 7706451313
Certification Date 2025-09-05
Enumeration Date 2025-09-05
Last Update Date 2025-09-05
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y225X00000XOccupational TherapistOT009659GA

Taxonomy Information

Primary Taxonomy

Code 225X00000X
Taxonomy Occupational Therapist
Classification Occupational Therapist
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Brianna Louise Whitfield 12770 Coit Rd Ste 870, Dallas, TX 75251-1455Occupational Therapist2025-10-11
Hillary Floyd 3811 Cooper St Se, Huntsville, AL 35801-6106Occupational Therapist2025-10-10
Katie Watanabe 888 S King St, Honolulu, HI 96813-3097Occupational Therapist2025-10-10
Lexie Rose Moore 2869 N Lincoln Ave, Chicago, IL 60657-4201Occupational Therapist2025-10-10
Tiny Steps Therapy, LLC 8810 Avenue J, Brooklyn, NY 11236-3919Occupational Therapist2025-10-11
Elizabeth Mary Hoctor 69 Cummings Park, Woburn, MA 01801-2124Occupational Therapist2025-10-11
Lauren Dauerman 3702 Washington St, Hollywood, FL 33021-8282Occupational Therapist2025-10-10
Lilia Favela 9020 N Capital of Texas Hwy Ste 200, Bldg 1, Ste 200, Austin, TX 78759-7234Occupational Therapist2025-10-10
Olivia Marie Rodriguez 524 Lansing Ave, Jackson, MI 49201-2804Occupational Therapist2025-10-10
Danielle Burnetta 1110 2nd Ave Rm 302, New York, NY 10022-2021Occupational Therapist2025-10-10
Find all providers with the same taxonomy

Location Information

Street Address 12060 ETRIS RD STE F100
City ROSWELL
State GA
Zip Code 30075-1470
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Adrianne Kate Leynes 12060 Etris Rd Ste F100, Roswell, GA 30075-1470Occupational Therapist2025-06-16
Erin Pohlschmidt 12060 Etris Rd Ste F100, Roswell, GA 30075-1470Speech-Language Pathologist2025-06-26
Selecia Huepper 12060 Etris Rd Ste F100, Roswell, GA 30075-1470Speech-Language Pathologist2025-09-18

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Marissa Evans · Marissa Mcmahan 830 Saddle Hill Rd, Roswell, GA 30075-1237Behavioral Analyst2020-06-14
Her Therapeutic Breakthrough 4370 Old Mabry Ln Ne, Roswell, GA 30075-1927Social Worker2024-02-12
Tmj Physical Therapy LLC 930 Woodstock Rd Ste 310, Roswell, GA 30075-2220Physical Therapy Clinic/Center2025-06-20
Macy Alexandria Celeste Jones 700 Roswell Lakes Parkway, Suite 300, Roswell, GA 30075Social Worker2022-08-02
Cadence Counseling, LLC 515 E. Crossville Rd, Suite 210 Bldg. 2, Roswell, GA 30075Community/Behavioral Health Agency2025-04-16
Modern Dentistry 1755 Woodstock Rd Ste 100, Roswell, GA 30075-2135General Practice Dentistry2025-07-08
Andrew Jung 930 Woodstock Rd Ste 300, Roswell, GA 30075-2220Massage Therapist2023-03-08
Adrien Caylin Easterwood 12060 Etris Rd Ste 200, Roswell, GA 30075-1463Behavioral Analyst2025-07-03
Anslie Prudhomme 4364 Burnleigh Chase Ne, Roswell, GA 30075-1956Family Nurse Practitioner2018-06-04
Zobia Qureshi 12070 Crabapple Rd, Roswell, GA 30075-2422Pharmacist2025-05-22
Find all providers in the same zip code

Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Takar Lide 4245 S Grand Canyon Dr Ste 216, Las Vegas, NV 89147-7165Personal Care Attendant2025-06-17
Chelsey Niccole Castleberry 1600 22nd Ave, Meridian, MS 39301-3223Nurse Practitioner2025-06-17
Ashley Niccole Villalobos 1201 W La Veta Ave, Orange, CA 92868-4203Nurse Practitioner2025-03-14
Niccole Renee Sargent · Niccole Renee Haughn 3000 Regency Ct Ste 207, Toledo, OH 43623-3081Mental Health Counselor2025-01-01
Niccole Dorsey 112 Manor Ave, Baltimore, MD 21206-1022School Psychologist2025-04-25
Niccole Odette Ogarro 529 Maple Ave, Los Angeles, CA 90013-1511Case Manager/Care Coordinator2024-05-10
Niccole Marie Snyder 1031 Loftis Blvd, Suite 100, Newport News, VA 23606-2981Physician Assistant2013-04-08
Niccole Fortunato 645 Manhattan Pl Apt 211, Boulder, CO 80303-4041Mental Health Counselor2025-02-06
Leah Niccole Hyde 1531 E Bradford Pkwy Ste 210-4, Springfield, MO 65804-6539Occupational Therapy Assistant2025-08-21
Adrianne Niccole Allen 2831 E President George Bush Hwy, Richardson, TX 75082-3561Nurse Practitioner2025-06-02

Improve Information

Do you have more infomration about Catherine Niccole Lide? Please fill in the following form.


Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.