Active NPI
Jennifer Gober, OTR/L
- Occupational Therapist
- Doral, FL
National Provider Identifier
1053376004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10765
- Practice address
- 7791 NW 46TH St Ste 210
Doral, FL 33166-5482 - Phone
- (305) 878-0083
- Fax
- (305) 477-7808
- NPI assigned
- Apr 20, 2006
- Last updated
- Apr 1, 2021
- 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 Therapist | 225X00000X | OT10765 | FL | Primary |
Addresses
Primary practice location
7791 NW 46TH St Ste 210
Doral, FL 33166-5482
Mailing address
1000 West Ave
#1411
Miami Beach, FL 33139-4759
Other practice location 1
1000 West Ave
#1411
Miami Beach, FL 33139-4759
Phone (305) 778-9198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887809900 | Medicaid | FL |
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 |
|---|---|---|---|
| OT10765 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetic Kids, Inc | Past | Accepting new patients | |
| Kinetic Kids, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmental Disabilities Clinic/Center
- Miami, FL
- NPI 1528323292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1053376004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WEST AVE",
"address_2": "#1411",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331394759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7791 NW 46TH ST STE 210",
"city": "DORAL",
"state": "FL",
"postal_code": "331665482",
"telephone_number": "305-878-0083",
"fax_number": "305-477-7808"
}
],
"practiceLocations": [
{
"address_1": "1000 West Ave",
"address_2": "#1411",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331394759",
"country_code": "US",
"telephone_number": "305-778-9198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOBER",
"first_name": "JENNIFER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT10765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887809900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.