Individual provider Active NPI

Gay Himelright, OTR/L

  • Occupational Therapist
  • Fairlawn, OH
National Provider Identifier
1306815311
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00912 Issued in OH
Practice address
150 N Miller Rd
Suite 150a
Fairlawn, OH 44333-3770
Phone
(330) 630-1860
Fax
(330) 630-3198
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 00912 OH Primary

Addresses

Primary practice location

150 N Miller Rd
Suite 150a
Fairlawn, OH 44333-3770

Mailing address

150 N Miller Rd
Suite 150a
Fairlawn, OH 44333-3770
Phone (330) 630-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922002353 OH Practitioner - Occupational Therapist in Private Practice 1456648112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Educators, LLCGroup PAC ID 2466605183, 3 clinicians

Practice addresses (Care Compare)

50 Baker Blvd
Suite 4
Fairlawn, OH 44333-3635
Phone (330) 801-4308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00912OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Educators, LLC Occupational Therapist CurrentSince Jul 15, 2016 Accepting new patients

Locations

50 Baker Blvd
Ste 4
Fairlawn, OH 44333
Phone (330) 608-2983

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1306815311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MILLER RD",
            "address_2": "SUITE 150A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333770",
            "telephone_number": "330-630-1860",
            "fax_number": "330-630-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MILLER RD",
            "address_2": "SUITE 150A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333770",
            "telephone_number": "330-630-1860",
            "fax_number": "330-630-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMELRIGHT",
        "first_name": "GAY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "00912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.