Individual provider Active NPI

Jennifer R Gilgan, OTR/L

  • Occupational Therapist
  • Olympia, WA
National Provider Identifier
1235808114
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60623601 Issued in WA
Practice address
111 Bethel St NE
Olympia, WA 98506-4365
Phone
(360) 596-6100
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 OT60623601 WA Primary

Addresses

Primary practice location

111 Bethel St NE
Olympia, WA 98506-4365

Mailing address

2801 Alyssa CT SE
Olympia, WA 98501-6005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgilgan@osd.wednet.edu

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT60623601WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1235808114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ALYSSA CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985016005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BETHEL ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064365",
            "telephone_number": "360-596-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILGAN",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60623601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgilgan@osd.wednet.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "111 Bethel St NE",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985064365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.