Individual provider Active NPI

Gloria Isaacks, MS, OTR/L,MT-BC, NMT

  • Occupational Therapist
  • Franklin, TN
National Provider Identifier
1104099035
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4276 Issued in TN
Practice address
201 Oak Dr
Franklin, TN 37064-2328
Phone
(615) 933-9456
Fax
(615) 334-3521
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 05213 TN
Occupational Therapist 225X00000X 4276 TN Primary

Addresses

Primary practice location

201 Oak Dr
Franklin, TN 37064-2328

Mailing address

201 Oak Dr
Franklin, TN 37064-2328
Phone (615) 933-9456

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
05213TNMDMusic Therapist
4276TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1104099035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642328",
            "telephone_number": "615-933-9456",
            "fax_number": "615-334-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642328",
            "telephone_number": "615-933-9456",
            "fax_number": "615-334-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACKS",
        "first_name": "GLORIA",
        "credential": "MS, OTR/L,MT-BC, NMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "TN",
            "license": "05213",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.