Active NPI
Hannah Gaylord, OTR/L
- Occupational Therapist
- Fort Walton Beach, FL
National Provider Identifier
1114465275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18165
- Practice address
- 220 Eglin Pkwy SE
Fort Walton Beach, FL 32548-5899 - Phone
- (850) 200-4348
- NPI assigned
- Feb 8, 2017
- Last updated
- Feb 8, 2017
- 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 | 18165 | FL | Primary |
Addresses
Primary practice location
220 Eglin Pkwy SE
Fort Walton Beach, FL 32548-5899
Mailing address
9100 Baldridge Rd Apt 10323
Pensacola, FL 32514-9467
Phone (334) 590-5462
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18165 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Korner | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Niceville, FL
- NPI 1568107746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1114465275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 BALDRIDGE RD APT 10323",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325149467",
"telephone_number": "334-590-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 EGLIN PKWY SE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485899",
"telephone_number": "850-200-4348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYLORD",
"first_name": "HANNAH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-08",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "18165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.