Active NPI
Marcia Gilson, OTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1295298032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.012627
- Practice address
- 5820 W Irving Park Rd
Chicago, IL 60634-2616 - Phone
- (317) 213-8189
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 056.012627 | IL | Primary |
Addresses
Primary practice location
5820 W Irving Park Rd
Chicago, IL 60634-2616
Mailing address
4814 N Damen Ave
#414
Chicago, IL 60625
Phone (317) 213-8189
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.012627 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1295298032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4814 N DAMEN AVE",
"address_2": "#414",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "317-213-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342616",
"telephone_number": "317-213-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILSON",
"first_name": "MARCIA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.012627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.