Korina Lew Gibson

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

282230 Issued in OR

Practice address

2835 NW Bryant St
Corvallis, OR 97330-3807

Phone

(510) 798-5096

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1417644287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 NW BRYANT ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303807",
            "telephone_number": "510-798-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 NW BRYANT ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303807",
            "telephone_number": "510-798-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KORINA",
        "middle_name": "LEW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "11737",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "282230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Giacobine
• Taylor Gibbs
• Cassondra Lynn Gibeaut, LPN
• Markham Scott Giblin, PHD
• Ian Gibson
• Ryan Brand Gienapp, DO
• Daniel Gienger
• Chandra Gilbert, REGISTERED NURSE
• Mahala Gilbert
• Deborah Gile, RPH

• Pediatric Occupational Therapist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.