Individual provider Active NPI

Lea Etta Riddiough Gilbert, OTR

  • Hand Occupational Therapist
  • Arlington, TX
National Provider Identifier
1164541876
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
105374 Issued in TX
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

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5374TXMDBehavioral Analyst
105374TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.