Chad Gosnell
Individual provider Active NPI Occupational Therapist · Midway, KY
NPI 1003562075 · NPPES record last updated Mar 3, 2022
Key facts
- NPI
- 1003562075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 274776 (KY)
- Practice address
- 101 Sexton Way
Midway, KY 40347-7800 - Phone
- (859) 846-4663
- NPI assigned
- Feb 28, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274776 | KY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 274776 | KY | Yes |
Addresses
Primary practice location
101 Sexton Way
Midway, KY 40347-7800
Mailing address
11606 Maple Way
Louisville, KY 40229-2255
Phone (502) 593-4282
Other providers in Midway, KY
- Gina Dearth-Pendley
- Eden Physical Therapy, LLC
- Wendy Michelle Enneking
- Glass Enterprises LLC
- Glass Enterprises LLC
- Amber Gunnell
- Katie Hicks
- Lynne R Humkey
- Gregory L. Isaacs
- Blake Lee Jones
All providers in Midway, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.