Individual provider Active NPI

Veronica Gunterman, MS, OTR/L

  • Occupational Therapist
  • Owensboro, KY
National Provider Identifier
1124685235
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
248600 Issued in KY
Practice address
1003 Burlew Blvd Ste C
Owensboro, KY 42303-1799
Phone
(270) 688-8449
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 248600 KY Primary

Addresses

Primary practice location

1003 Burlew Blvd Ste C
Owensboro, KY 42303-1799

Mailing address

1003 Burlew Blvd Ste C
Owensboro, KY 42303-1799
Phone (270) 688-8449

Other identifiers 1

IdentifierTypeStateIssuer
822441475MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacob@theratreepeds.com Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
248600KYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1124685235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 BURLEW BLVD STE C",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031799",
            "telephone_number": "270-688-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BURLEW BLVD STE C",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031799",
            "telephone_number": "270-688-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTERMAN",
        "first_name": "VERONICA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "248600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822441475",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob@theratreepeds.com",
            "affiliation": "N",
            "endpointDescription": "Clinic location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1003 Burlew Blvd Ste C",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423031799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.