Active NPI
Lea Etta Riddiough Gilbert, OTR
- Hand Occupational Therapist
- Arlington, TX
National Provider Identifier
1164541876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 105374
- Practice address
- 911 Medical Centre Dr Ste a
Arlington, TX 76012-4758 - Phone
- (817) 861-7600
- Fax
- (817) 861-7601
- NPI assigned
- Mar 27, 2007
- 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 | 105374 | TX | |
| Hand Occupational Therapist | 225XH1200X | 105374 | TX | Primary |
Addresses
Primary practice location
911 Medical Centre Dr Ste a
Arlington, TX 76012-4758
Mailing address
911 Medical Centre Dr Ste a
Arlington, TX 76012-4758
Phone (817) 861-7600
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 |
|---|---|---|---|
| 5374 | TX | MD | Behavioral Analyst |
| 105374 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand & Upper Extremity Rehabilitation | Occupational Therapist | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Arlington, TX
- NPI 1194750216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1164541876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 MEDICAL CENTRE DR STE A",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760124758",
"telephone_number": "817-861-7600",
"fax_number": "817-861-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 MEDICAL CENTRE DR STE A",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760124758",
"telephone_number": "817-861-7600",
"fax_number": "817-861-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "LEA ETTA",
"middle_name": "RIDDIOUGH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105374",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TX",
"license": "105374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.