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]

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Provider NameAddressTaxonomyEnumeration Date
Madison Degennaro 48 Brookfield Oaks Dr Ste A&B, Greenville, SC 29607-6555Occupational Therapist2025-09-05
Sara Frommer 12 Grace Ct, Wayne, NJ 07470-2715Occupational Therapist2025-09-06
Rachel Ellen Baker 501 W Williams St Unit 346, Apex, NC 27502-1998Occupational Therapist2025-09-06
Camilla Hren 65 1st St, Troy, NY 12180-4013Occupational Therapist2025-09-06
Beth Anne Binder 1126 Oxford Ln, Lake Zurich, IL 60047-7103Occupational Therapist2025-09-05
Elera Health Maine 51 Mountain Mist Ln, Dixmont, ME 04932-3640Occupational Therapist2025-09-05
Allycyn Boudreau 1127 Queensborough Blvd Ste 104, Mount Pleasant, SC 29464-5431Occupational Therapist2025-09-05
Emily Grace Olsen 8212 151st Ave, Howard Beach, NY 11414-1793Occupational Therapist2025-09-05
Jennifer Pidkowicz 507 Ne 47th Ave, Portland, OR 97213-2236Occupational Therapist2025-09-05
Iselin Therapy Services LLC 125 Creemer Ave, Iselin, NJ 08830-2325Occupational Therapist2025-09-05
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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
Erin Pohlschmidt 12060 Etris Rd Ste F100, Roswell, GA 30075-1470Speech-Language Pathologist2025-06-26
Adrianne Kate Leynes 12060 Etris Rd Ste F100, Roswell, GA 30075-1470Occupational Therapist2025-06-16
Molly Therese Rowland 12060 Etris Rd Ste F100, Roswell, GA 30075-1470Occupational Therapist2024-07-10

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Andrew Jung 930 Woodstock Rd Ste 300, Roswell, GA 30075-2220Massage Therapist2023-03-08
Mehri Abrishamchi 1805 Hadfield Blvd, Roswell, GA 30075-1787Registered Nurse2024-12-23
Her Therapeutic Breakthrough 4370 Old Mabry Ln Ne, Roswell, GA 30075-1927Social Worker2024-02-12
Sweet Life Chiropractic 12060 Etris Rd, Suite 210, Roswell, GA 30075-1402Health Maintenance Organization2010-04-05
Keela K Weeks 11050 Crabapple Road, Suite104 B, Roswell, GA 30075Primary Care Nurse Practitioner2007-04-18
Abigail Marie Rosenthal 12060 Etris Rd, Roswell, GA 30075-1463Speech-Language Pathologist2025-01-21
Atlanta Wellness Dentistry 4690 Woodstock Rd, Roswell, GA 30075-2089Dental Clinic/Center2025-05-06
Tmj Physical Therapy LLC 930 Woodstock Rd Ste 310, Roswell, GA 30075-2220Physical Therapy Clinic/Center2025-06-20
Rebecca Dideum 407 Hardscrabble Rd, Roswell, GA 30075-1417Music Therapist2025-05-16
Diana Sanchez Curiel 12060 Etris Rd, Roswell, GA 30075-1463Behavioral Analyst2025-01-06
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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.