Deborah Jobes Gardiner, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

008125-1 Issued in NY

Practice address

9600 Clarence Center Rd
Clarence Center, NY 14032-9748

Phone

(716) 407-9150

NPI assigned

Aug 27, 2011

Sex

Female

Sole proprietor

No

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": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314403200000",
    "number": "1144500612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 MARTHAS VINEYARD",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329341",
            "telephone_number": "716-741-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 CLARENCE CENTER RD",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329748",
            "telephone_number": "716-407-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "DEBORAH",
        "middle_name": "JOBES",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-27",
        "last_updated": "2011-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "008125-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Czajkowski, RPH.
• Danielle Christine Destefano, D.P.T.
• Kathryn Emily Dinunzio, SLP
• Zahra Fayzi
• Heidi Fischer, LMT
• Peter Gargano Jr., RPH
• Annette Noel Hasselbeck, CRNA
• Shannon Haugeto
• Regan Howlett
• Diane Kottakis

• Pediatric Occupational Therapist in Clarence Center, NY
• Providers in Clarence Center, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; 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.