Andraya Lynn Gago, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013071 Issued in MI

Practice address

41155 Pond View Dr
Sterling Heights, MI 48314-3891

Phone

(586) 217-3908

NPI assigned

Sep 5, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Andraya Lynn Musallam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1306567722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28425 HENDRIE ST",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475217",
            "telephone_number": "586-549-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41155 POND VIEW DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143891",
            "telephone_number": "586-217-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGO",
        "first_name": "ANDRAYA",
        "middle_name": "LYNN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRAYA",
            "last_name": "MUSALLAM",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nikolaus Christian Fulbright, M.D.
• Jaela F Funderburg
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• Gabrielle Gadoua
• Virendra M Gaidhane, P.T.
• Kiarra Renea Gaines, RN, EMT-P
• Nichole Ann Galanek
• Makenzi Lee Galanski
• Michael Arthur Galayda, R.PH. M.B.A.

• Occupational Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.