Individual provider Active NPI

Gabrielle Fink, OTR

  • Occupational Therapist
  • Westchase, FL
National Provider Identifier
1326336967
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21239 Issued in FL
Practice address
9633 Magnolia Blossom Dr
Westchase, FL 33626-5429
Phone
(409) 599-7437
NPI assigned
Jul 18, 2011
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 112728 TX
Occupational Therapist 225X00000X 21239 FL Primary

Addresses

Primary practice location

9633 Magnolia Blossom Dr
Westchase, FL 33626-5429

Mailing address

9633 Magnolia Blossom Dr
Westchase, FL 33626-5429

Other identifiers 1

IdentifierTypeStateIssuer
20-0443488MedicaidTX

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

LicenseStateTypeSpecialty
21239FLMDPharmacotherapy Pharmacist
112728TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1326336967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 MAGNOLIA BLOSSOM DR",
            "city": "WESTCHASE",
            "state": "FL",
            "postal_code": "336265429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 MAGNOLIA BLOSSOM DR",
            "city": "WESTCHASE",
            "state": "FL",
            "postal_code": "336265429",
            "telephone_number": "409-599-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "GABRIELLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112728",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-0443488",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchase, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.