Active NPI
Gina Slyder, OTR/L
- Occupational Therapist
- Williamsville, NY
National Provider Identifier
1306350533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 021543
- Practice address
- 17 Limestone Dr Ste 5
Williamsville, NY 14221-8601 - Phone
- (716) 362-1552
- Fax
- (716) 362-1553
- NPI assigned
- Nov 27, 2017
- 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 | 021543 | NY | Primary |
Addresses
Primary practice location
17 Limestone Dr Ste 5
Williamsville, NY 14221-8601
Mailing address
2900 Delaware Ave
Kenmore, NY 14217-2309
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1306350533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 LIMESTONE DR STE 5",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218601",
"telephone_number": "716-362-1552",
"fax_number": "716-362-1553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLYDER",
"first_name": "GINA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "021543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.