Individual provider Active NPI

Virginia T Gillanders, OTR/L

  • Occupational Therapist
  • Lafayette, CA
National Provider Identifier
1194020305
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9976 Issued in CA
Practice address
3730 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3635
Phone
(925) 285-6370
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT9976 CA Primary

Addresses

Primary practice location

3730 Mt Diablo Blvd
Suite 100
Lafayette, CA 94549-3635

Mailing address

36 Dolores Way
Orinda, CA 94563-4108
Phone (925) 285-6370

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
OT9976CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Cafe Physical Therapy, Inc PastSince Oct 30, 2022 Accepting new patients
Health Cafe Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1194020305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 DOLORES WAY",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945634108",
            "telephone_number": "925-285-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 MT DIABLO BLVD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493635",
            "telephone_number": "925-285-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLANDERS",
        "first_name": "VIRGINIA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT9976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.