Active NPI
Brooke Gable
- Occupational Therapist
- Greensboro, NC
National Provider Identifier
1386401487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15770
- Practice address
- 3907A W Market St
Greensboro, NC 27407-1303 - Phone
- (336) 279-9008
- Fax
- (336) 747-9099
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15770 | NC | Primary |
Addresses
Primary practice location
3907A W Market St
Greensboro, NC 27407-1303
Mailing address
124 W Sprague St
Winston Salem, NC 27127-2946
Phone (919) 260-2118
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15770 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interact Pediatric Therapy Services, PLLC | Current | Accepting new patients |
Locations
3907 W Market St
#A
Greensboro, NC 27407
Phone (336) 279-9008
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.
-
- Speech-Language Pathologist
- Greensboro, NC
- NPI 1740505346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1386401487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 W SPRAGUE ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271272946",
"telephone_number": "919-260-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3907A W MARKET ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071303",
"telephone_number": "336-279-9008",
"fax_number": "336-747-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABLE",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.