Active NPI
Chelsea Gomori
- Occupational Therapist
- Lompoc, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009440
- Practice address
- 803 E Walnut Ave
Lompoc, CA 93436-7027 - Phone
- (805) 735-3714
- NPI assigned
- Apr 10, 2018
- Last updated
- Apr 10, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16794 | CA | |
| Occupational Therapist | 225X00000X | 5201009440 | MI | Primary |
Addresses
Primary practice location
803 E Walnut Ave
Lompoc, CA 93436-7027
Mailing address
15506 Dupage Blvd
Taylor, MI 48180-6021
Phone (313) 702-8195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
42869 Woodward Ave
Bloomfield Hills, MI 48304-5036
Phone (248) 724-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hand & Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Hand & Rehabilitation, LLC | Current | Accepting new patients | |
| Carnahan Therapy/the Work Center, Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
42869 Woodward Ave
Bloomfield Hills, MI 48304
Phone (248) 724-4400
5798 Highland Rd
Waterford, MI 48327
Phone (248) 724-4400
Organizations & group practices 3
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.
-
- Hand Occupational Therapist
- Waterford, MI
- NPI 1508213315
-
- Prosthetic/Orthotic Supplier
- Bloomfield Hills, MI
- NPI 1538613260
-
- Occupational Therapist
- Lompoc, CA
- NPI 1043307200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1134626609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15506 DUPAGE BLVD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806021",
"telephone_number": "313-702-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 E WALNUT AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367027",
"telephone_number": "805-735-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMORI",
"first_name": "CHELSEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "16794",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.