Individual provider Active NPI

Lyndsay Gnotek, OTR/L

  • Occupational Therapist
  • Saint Petersburg, FL
National Provider Identifier
1275980088
Registry record updated May 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT14283 Issued in FL
Practice address
10901 Brighton Bay Blvd NE
Apt 4211
Saint Petersburg, FL 33716-3446
Phone
(989) 239-1185
NPI assigned
May 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2016

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 OT14283 FL Primary

Addresses

Primary practice location

10901 Brighton Bay Blvd NE
Apt 4211
Saint Petersburg, FL 33716-3446

Mailing address

10901 Brighton Bay Blvd NE
Apt 4211
Saint Petersburg, FL 33716-3446

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
OT14283FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1463875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463875200000",
    "number": "1275980088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 BRIGHTON BAY BLVD NE",
            "address_2": "APT 4211",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 BRIGHTON BAY BLVD NE",
            "address_2": "APT 4211",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163446",
            "telephone_number": "989-239-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNOTEK",
        "first_name": "LYNDSAY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-22",
        "last_updated": "2016-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2016; 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.