Active NPI
Abigail Ella Gore, OTR/L
- Occupational Therapist
- Sarver, PA
National Provider Identifier
1033732508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC016962
- Practice address
- 105 S Pike Rd
Sarver, PA 16055-9283 - Phone
- (724) 272-3844
- NPI assigned
- May 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | OC016962 | PA | Primary |
Addresses
Primary practice location
105 S Pike Rd
Sarver, PA 16055-9283
Mailing address
129 Meadowbrook Rd
Renfrew, PA 16053-1213
Phone (724) 713-7328
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 |
|---|---|---|---|
| OC016962 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1033732508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 MEADOWBROOK RD",
"city": "RENFREW",
"state": "PA",
"postal_code": "160531213",
"telephone_number": "724-713-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S PIKE RD",
"city": "SARVER",
"state": "PA",
"postal_code": "160559283",
"telephone_number": "724-272-3844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "ABIGAIL",
"middle_name": "ELLA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-19",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC016962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.