Active NPI
Dana Marie Gaerke, OTR/L
- Occupational Therapist
- La Grande, OR
National Provider Identifier
1073050795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 302902
- Practice address
- Parkway Therapies: la Grande Health and Rehab
91 Aires Lane
La Grande, OR 97850 - Phone
- (541) 963-8678
- NPI assigned
- Jan 20, 2017
- Last updated
- Jan 20, 2017
- 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 | 302902 | OR | Primary |
Addresses
Primary practice location
Parkway Therapies: la Grande Health and Rehab
91 Aires Lane
La Grande, OR 97850
Mailing address
107 Cedar Dr
Berea, KY 40403-9675
Phone (859) 893-4702
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 |
|---|---|---|---|
| 302902 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1073050795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CEDAR DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404039675",
"telephone_number": "859-893-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARKWAY THERAPIES: LA GRANDE HEALTH AND REHAB",
"address_2": "91 AIRES LANE",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "97850",
"telephone_number": "541-963-8678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAERKE",
"first_name": "DANA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "302902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.