Gina Leigh Bozzo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

61259055 Issued in WA

Practice address

1111 Cornwall Ave
Bellingham, WA 98225-5039

Phone

(360) 927-4094

NPI assigned

Mar 7, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1073260345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 KELLY RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267508",
            "telephone_number": "360-927-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255039",
            "telephone_number": "360-927-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZO",
        "first_name": "GINA",
        "middle_name": "LEIGH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61259055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyler Boyes
• Bridget M Boylan, PT, LAC
• Mary Ann Boyle
• Kelsey R Boze, AUD
• Shahriar Bozorgzadeh, MD
• Nikki Braaten, MA, LPCC, LMHC
• Stephanie Bernice Bracamonte, MA
• Susan Marie Bradbury, LAC, MACOM
• Timothy Krisvick Bradbury, D.C.
• Braden Partners LP (Pacific Pulmonary Services)

• Occupational Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.