Active NPI
Patricia Gilbert
- Occupational Therapy Assistant
- Shelbyville, KY
National Provider Identifier
1033690987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 90 Howard Dr
Shelbyville, KY 40065 - Phone
- (502) 633-1007
- NPI assigned
- Aug 28, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
90 Howard Dr
Shelbyville, KY 40065
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Other practice location 1
1002 Glenview Dr
Glasgow, KY 42141-3424
Phone (270) 651-8332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240753 | Other | KY | COTA 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1033690987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "40065",
"telephone_number": "502-633-1007"
}
],
"practiceLocations": [
{
"address_1": "1002 Glenview Dr",
"address_purpose": "LOCATION",
"city": "Glasgow",
"state": "KY",
"postal_code": "421413424",
"country_code": "US",
"telephone_number": "270-651-8332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILBERT",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA LICENSE",
"identifier": "240753",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.