Active NPI
Gayle A Munro, COTA
- Specialist
- Detroit, MI
National Provider Identifier
1033349766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5202002333
- Practice address
- 5447 Woodward Ave
Detroit, MI 48202-4009 - Phone
- (313) 832-1100
- NPI assigned
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5202002333 | MI | Primary |
Addresses
Primary practice location
5447 Woodward Ave
Detroit, MI 48202-4009
Mailing address
5447 Woodward Ave
Detroit, MI 48202-4009
Phone (313) 832-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5202002333 | Other | MI | STATE OF MICHIGAN OCCUPATIONAL THERAPY ASSISTANT LICENSE |
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 |
|---|---|---|---|
| 5202002333 | MI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1033349766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5447 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482024009",
"telephone_number": "313-832-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5447 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482024009",
"telephone_number": "313-832-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNRO",
"first_name": "GAYLE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "5202002333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN OCCUPATIONAL THERAPY ASSISTANT LICENSE",
"identifier": "5202002333",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.