Individual provider Active NPI

Gabrielle Chiniche, P.T.

  • Occupational Therapist
  • Oxford, MS
National Provider Identifier
1003842758
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
PT1480 Issued in MS
Practice address
204 Enterprise Dr
Oxford, MS 38655
Phone
(662) 234-0010
Fax
(662) 234-0017
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X PT1480 MS Primary

Addresses

Primary practice location

204 Enterprise Dr
Oxford, MS 38655

Mailing address

199 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (662) 327-6705

Other practice location 1

2205 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone (662) 238-2800

Other practice location 2

2205 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone (662) 238-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000450 MS Practitioner - Occupational Therapist in Private Practice 9830108455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sog Physical TherapyGroup PAC ID 1850627209, 20 clinicians

Practice addresses (Care Compare)

1211 S Gloster St
Suite C
Tupelo, MS 38801-6548
Phone (662) 432-1523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1480MSMDPhysical Therapist
8094MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Current Accepting new patients
Dpti Elite Physical Therapy LLC Occupational Therapist CurrentSince Apr 1, 2019 Accepting new patients
Sog Physical Therapy Occupational Therapist CurrentSince Jun 19, 2019 Accepting new patients
Drayer Physical Therapy Mississippi LLC Occupational Therapist CurrentSince Apr 1, 2019 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC PastSince Jun 19, 2019 Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients
Performance Rehabilitation of Western New England LLC Occupational Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1945 Scottsville Rd
Ste B2
Bowling Green, KY 42104
Phone (270) 781-4828

199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

1211 S Gloster St
Ste C
Tupelo, MS 38801
Phone (662) 432-1523

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1003842758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "662-327-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ENTERPRISE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-234-0010",
            "fax_number": "662-234-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Jefferson Davis Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555221",
            "country_code": "US",
            "telephone_number": "662-238-2800",
            "fax_number": "662-238-2808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Jefferson Davis Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555221",
            "country_code": "US",
            "telephone_number": "662-238-2800",
            "fax_number": "662-238-2808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINICHE",
        "first_name": "GABRIELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "PT1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.