Gayle Cline, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT817 Issued in OK

Practice address

31197 E 683 Dr
Wagoner, OK 74467-6396

Phone

(918) 462-0905

NPI assigned

Nov 16, 2009

Last updated

Nov 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)
• William H and Carrie Gottsche Foundation

  dba Gottsche Rehabilitation Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Thermopolis, WY
  • NPI 1558319392
  NPD (past)

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1023345824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31197 E 683 DR",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744676396",
            "telephone_number": "918-462-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31197 E 683 DR",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744676396",
            "telephone_number": "918-462-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "GAYLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Wagoner
• Brenda Gayle Clark
• Michael D Clark, PT
• Sylvia Clark
• Jeremiah Thomas Cleveland
• CMG Family Clinic
• Norma C Cobb, C.A.D.C.
• Harry O Colbert III
• Myrtle L Collins
• Ethan Garret Colwell

• Occupational Therapist in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.