Individual provider Active NPI

Robyn Gershberg, OTR/L

  • Occupational Therapist
  • Murray, UT
National Provider Identifier
1215434113
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13488140-4201 Issued in UT
Practice address
5770 Fashion Blvd
Ste 210
Murray, UT 84107
Phone
(833) 577-3422
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 022414 NY
Occupational Therapist 225X00000X 13488140-4201 UT Primary

Addresses

Primary practice location

5770 Fashion Blvd
Ste 210
Murray, UT 84107

Mailing address

812 S Washington St Apt B6
Salt Lake City, UT 84101-3051
Phone (917) 723-7835

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
022414NYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1215434113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S WASHINGTON ST APT B6",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841013051",
            "telephone_number": "917-723-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 FASHION BLVD",
            "address_2": "STE 210",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "833-577-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHBERG",
        "first_name": "ROBYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022414",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "13488140-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.