Individual provider Active NPI

Gayle B Golike, MOT

  • Occupational Therapist
  • Evansville, IN
National Provider Identifier
1194357723
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
5236 Vogel Rd Ste a
Evansville, IN 47715-7814
Phone
(812) 437-7868
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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 Primary

Addresses

Primary practice location

5236 Vogel Rd Ste a
Evansville, IN 47715-7814

Mailing address

PO Box 5629
Evansville, IN 47716-5629
Phone (812) 759-7451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200229000153 IN Practitioner - Occupational Therapist in Private Practice 0143657270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab for Life LLCGroup PAC ID 8628176823, 8 clinicians

Practice addresses (Care Compare)

6215 E Florida St
Evansville, IN 47715-2877
Phone (812) 401-5210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jun 1, 2021 Accepting new patients
Rehab for Life, LLC Occupational Therapist CurrentSince Sep 12, 2022 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Current Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Occupational Therapist CurrentSince Jan 1, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

6215 E Florida St
Evansville, IN 47715
Phone (812) 401-5210

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

4211 Grimm Rd
Newburgh, IN 47630
Phone (812) 853-9810

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

Organizations & group practices 6

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1194357723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "812-759-7451",
            "fax_number": "812-401-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 VOGEL RD STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157814",
            "telephone_number": "812-437-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIKE",
        "first_name": "GAYLE",
        "middle_name": "B",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.

Verify at the official NPI Registry.