Active NPI
Terri Lynn Gahan, OTR
- Occupational Therapist
- Orlando, FL
National Provider Identifier
1386852556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2159-026
- Practice address
- 3505 Lake Lynda Dr
Suite 207
Orlando, FL 32817-8324 - Phone
- (877) 896-3660
- Fax
- (888) 345-7994
- NPI assigned
- May 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2159-026 | WI | Primary |
Addresses
Primary practice location
3505 Lake Lynda Dr
Suite 207
Orlando, FL 32817-8324
Mailing address
139 S High St
Port Washington, WI 53074-2046
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 |
|---|---|---|---|
| 2159-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386852556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 S HIGH ST",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 LAKE LYNDA DR",
"address_2": "SUITE 207",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178324",
"telephone_number": "877-896-3660",
"fax_number": "888-345-7994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAHAN",
"first_name": "TERRI",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2159-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.