Katherine M Gibson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001944 Issued in GA

Practice address

1212 Broadrick Dr
Dalton, GA 30720-2503

Phone

(706) 270-8008

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

Yes

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1083171524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 MILAS WINKLER RD",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307055241",
            "telephone_number": "706-618-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202503",
            "telephone_number": "706-270-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Pain and Wellness Center
• Katie Jane Geraldson, FNP-BC
• Rebecca Geren, PT
• German Garcia MD PC
• Nancy Drown Giammarella, CNP
• Sheli Marie Gilley
• Amanda Girardot
• Brian A Glass, MD
• Justin Matthew Glaze, MSN, APRN, FNP-C
• Glenn H Boyd MD PC

• Occupational Therapy Assistant in Dalton, GA
• Providers in Dalton, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.