Active NPI
Gabrielle Thornton, RECREATION THERAPIST
- Orthotic Fitter
- Washington, DC
National Provider Identifier
1275763898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- RT000019
- Practice address
- 102 Irving Street, NW
Washington, DC 20010 - Phone
- (202) 877-1531
- NPI assigned
- Jul 16, 2009
- Last updated
- Jul 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | RT000019 | DC | Primary |
Addresses
Primary practice location
102 Irving Street, NW
Washington, DC 20010
Mailing address
102 Irving Street, NW
Washington, DC 20010
Phone (202) 877-1531
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT000019 | DC | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1275763898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 IRVING STREET, NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-877-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 IRVING STREET, NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-877-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "GABRIELLE",
"credential": "RECREATION THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "DC",
"license": "RT000019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.