Active NPI
Chad Gosnell
- Occupational Therapist
- Midway, KY
National Provider Identifier
1003562075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 274776
- Practice address
- 101 Sexton Way
Midway, KY 40347-7800 - Phone
- (859) 846-4663
- NPI assigned
- Feb 28, 2022
- Last updated
- Mar 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 274776 | KY | Primary |
Addresses
Primary practice location
101 Sexton Way
Midway, KY 40347-7800
Mailing address
11606 Maple Way
Louisville, KY 40229-2255
Phone (502) 593-4282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274776 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1003562075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11606 MAPLE WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402292255",
"telephone_number": "502-593-4282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SEXTON WAY",
"city": "MIDWAY",
"state": "KY",
"postal_code": "403477800",
"telephone_number": "859-846-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSNELL",
"first_name": "CHAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-28",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "274776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midway, KY
- Gina Dearth-Pendley, PHD
- Eden Physical Therapy, LLC
- Wendy Michelle Enneking, APRN
- Glass Enterprises LLC (Railroad Drug & Old Time Soda Fountain)
- Glass Enterprises LLC (Railroad Drug and Old Time Soda Fountain)
- Amber Gunnell
- Katie Hicks, D.C.
- Lynne R Humkey, RN, IBCLC
- Gregory L. Isaacs, MSW, CSW
- Blake Lee Jones, PH.D., LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.