Active NPI
Cynthia Joy Gill, MSOM, OTRL
- Occupational Therapist
- Wilkes Barre, PA
National Provider Identifier
1487778627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC003749L
- Practice address
- 440 N River St
Wilkes Barre, PA 18702-2631 - Phone
- (570) 831-8622
- Fax
- (570) 970-0318
- NPI assigned
- Mar 16, 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 | OC003749L | PA | Primary |
Addresses
Primary practice location
440 N River St
Wilkes Barre, PA 18702-2631
Mailing address
258 Church St
Dallas, PA 18612-1110
Phone (570) 647-9030
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 |
|---|---|---|---|
| OC003749L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487778627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 CHURCH ST",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121110",
"telephone_number": "570-647-9030",
"fax_number": "570-970-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187022631",
"telephone_number": "570-831-8622",
"fax_number": "570-970-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "CYNTHIA",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "MSOM, OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC003749L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
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.