Dana Lynn Gilbert, PTA, DT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

RR 3 Box 322
Fairfield, IL 62837-9517

Phone

(618) 925-1037

Fax

(618) 842-2472

NPI assigned

Sep 18, 2008

Last updated

Jan 17, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1043469786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 COUNTY ROAD 2050 E",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372846",
            "telephone_number": "618-925-1037",
            "fax_number": "618-551-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 322",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628379517",
            "telephone_number": "618-925-1037",
            "fax_number": "618-842-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "PTA,  DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160002354",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyth Fenton
• Ryan Douglas Ferguson
• Emma Funk, PA-C
• Nicole Fyie, M.D.
• Melissa D. Gibbs, LPN
• Lauren Griswold, LCSW
• Francis Guerra-Bauman, MD
• Bryce Michael Harrison, PHARM D.
• Michaela Blaire Harrison, LCPC
• Clint Harvey

• Developmental Therapist in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.