Dana Lynn Gilbert, PTA, DT
Individual provider Active NPI Developmental Therapist · Fairfield, IL
NPI 1043469786 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1043469786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- RR 3 Box 322
Fairfield, IL 62837-9517 - Phone
- (618) 925-1037
- Fax
- (618) 842-2472
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160002354 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160002354 | IL | |
| Developmental Therapist | 222Q00000X | IL | Yes |
Addresses
Primary practice location
RR 3 Box 322
Fairfield, IL 62837-9517
Mailing address
989 County Road 2050 E
Fairfield, IL 62837-2846
Phone (618) 925-1037
Other providers in Fairfield, IL
- Leyth Fenton
- Ryan Douglas Ferguson
- Emma Funk
- Nicole Fyie
- Melissa D. Gibbs
- Lauren Griswold
- Francis Guerra-Bauman
- Bryce Michael Harrison
- Michaela Blaire Harrison
- Clint Harvey
All providers in Fairfield, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.