Active NPI
Gail Waecker, M.S. OTR/L
- Occupational Therapist
- Newport, VT
National Provider Identifier
1336540640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0720105605
- Practice address
- 35 Bel Aire Dr
Newport, VT 05855-4953 - Phone
- (802) 334-2878
- NPI assigned
- Sep 7, 2014
- Last updated
- Sep 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0720105605 | VT | Primary |
| Occupational Therapist | 225X00000X | 056009503 | IL |
Addresses
Primary practice location
35 Bel Aire Dr
Newport, VT 05855-4953
Mailing address
328 Main St
Apt #1
Newport, VT 05855-4447
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056009503 | IL | MD | Occupational Therapist |
| 0720105605 | VT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410048000000",
"number": "1336540640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 MAIN ST",
"address_2": "APT #1",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058554447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BEL AIRE DR",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058554953",
"telephone_number": "802-334-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAECKER",
"first_name": "GAIL",
"credential": "M.S. OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-07",
"last_updated": "2014-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VT",
"license": "0720105605",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056009503",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, VT
- University of Vermont Medical Center Inc
- Matthew S Urbach, PHARM. D.
- Andrea Carrie Van Woert, FNP-BC
- Vermont Family Dental PLC (Roligo - Newport Family Dental)
- Vermont Mobility Arts, PLLC
- Walgreen Co (Walgreens #17713)
- Walgreen Co (Rite Aid #17597)
- Gregory A Walker, MD
- Wellness Eyecare PLLC (Wellness EyeCare)
- White River Junction Vamc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.