Individual provider Active NPI

Nicola Gentille

  • Occupational Therapist
  • Mayfield Heights, OH
National Provider Identifier
1447790480
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
009359 Issued in OH
Practice address
1756 Temple Ave
Mayfield Heights, OH 44124-3016
Phone
(440) 724-6497
NPI assigned
Feb 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 009359 OH Primary

Addresses

Primary practice location

1756 Temple Ave
Mayfield Heights, OH 44124-3016

Mailing address

6218 Tall Oaks Dr
Mentor, OH 44060-3148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004003515 OH Practitioner - Occupational Therapist in Private Practice 1557747185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

355 W Central Ave
Springboro, OH 45066-1293
Phone (937) 345-0969

5241 Sunnybrook Rd
Kent, OH 44240-7383
Phone (877) 367-9772

7383 Paragon Rd
Dayton, OH 45459-4119
Phone (717) 283-4155

8155 Mentor Hills Dr
Mentor, OH 44060-7862
Phone (440) 701-6892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009359OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Sep 19, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Sep 19, 2022 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

7383 Paragon Rd
Dayton, OH 45459
Phone (717) 746-9005

8155 Mentor Hills Dr
Mentor, OH 44060
Phone (440) 256-5200

335 W McKinley Way
Youngstown, OH 44514
Phone (330) 707-1313

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1447790480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 TALL OAKS DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440603148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 TEMPLE AVE",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441243016",
            "telephone_number": "440-724-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILLE",
        "first_name": "NICOLA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "009359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.