Active NPI
Daniel Leroy Gibbons, OTD, OTR/L
- Occupational Therapist
- Safford, AZ
National Provider Identifier
1285069922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7358965-1717
- Practice address
- 1600 S 20TH Ave
BLDG. E
Safford, AZ 85546-4011 - Phone
- (928) 651-5351
- NPI assigned
- Sep 12, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7358965-1717 | UT | Primary |
Addresses
Primary practice location
1600 S 20TH Ave
BLDG. E
Safford, AZ 85546-4011
Mailing address
1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 322-3444
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 |
|---|---|---|---|
| 7358965-1717 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421539200000",
"number": "1285069922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S 20TH AVE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-322-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S 20TH AVE",
"address_2": "BLDG. E",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-651-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "DANIEL",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-12",
"last_updated": "2015-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "7358965-1717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.