Gina Louise Whitener, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

004641 Issued in MO

Practice address

30 Main St
Pevely, MO 63070-3311

Phone

(636) 479-5200

NPI assigned

Aug 22, 2024

Last updated

Sep 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1306679642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 PRAIRIE GLEN DR",
            "city": "HERCULANEUM",
            "state": "MO",
            "postal_code": "630481640",
            "telephone_number": "314-852-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "city": "PEVELY",
            "state": "MO",
            "postal_code": "630703311",
            "telephone_number": "636-479-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITENER",
        "first_name": "GINA",
        "middle_name": "LOUISE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "004641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly N Uding, PT
• Victoria Lynn Viehman, PHARMD
• Jodi M. Walker, MA
• Jason Alexander Wang, PHARM.D.
• Warm Light Counseling, L.L.C.
• Kirstie Williams

• Occupational Therapy Assistant in Pevely, MO
• Providers in Pevely, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.