Individual provider Active NPI

Gina Marie Buonpane, OT

  • Occupational Therapist
  • Youngstown, OH
National Provider Identifier
1225757420
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT011076 Issued in OH
Practice address
299 Edwards St
Youngstown, OH 44502-1599
Phone
(330) 743-1168
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 OT011076 OH Primary

Addresses

Primary practice location

299 Edwards St
Youngstown, OH 44502-1599

Mailing address

238 W Main St
Canfield, OH 44406-1430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730002988 OH Practitioner - Occupational Therapist in Private Practice 3779968409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antonine Therapy CenterGroup PAC ID 1153642426, 2 clinicians

Practice addresses (Care Compare)

2675 N Lipkey Rd
North Jackson, OH 44451-9665
Phone (330) 538-9822

2691 N Lipkey Rd
North Jackson, OH 44451-9665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Antonine Therapy Center CurrentSince Jul 21, 2025 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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1225757420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 W MAIN ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 EDWARDS ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021599",
            "telephone_number": "330-743-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONPANE",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.