Gabrielle Renate Lightcap, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202008546 Issued in MI

Practice address

3508 S Lapeer Rd
Metamora, MI 48455-8768

Phone

(810) 212-1134

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

No

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.

• Function Junction Therapy, LLC

  • Occupational Therapist
  • Metamora, MI
  • NPI 1508222654
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2019.

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1285276972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 S LAPEER RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484558768",
            "telephone_number": "810-212-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 S LAPEER RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484558768",
            "telephone_number": "810-212-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTCAP",
        "first_name": "GABRIELLE",
        "middle_name": "RENATE",
        "name_prefix": "Mrs.",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Jones, MS, RDN
• Kenneth Jostock Jr., M.D.
• Junior Yogi
• Matthew Michael Kapraun, DC
• Julianne Marie Lentz, RPH
• Carrie Ellen Lovik, PA
• Kathryn McKinnon, DPT
• Metamora Physical Therapy LLC
• Mi. Home Healthcare Services, Inc.
• Milton J Grosenbach Edd, PC

• All providers in Metamora, MI
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.