Active NPI
Mary Ella Gilbertson, OT
- Occupational Therapist
- Albuquerque, NM
National Provider Identifier
1487834511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1673
- Practice address
- 8901 Lowell Dr NE
Lowell Es
Albuquerque, NM 87122-4400 - Phone
- (505) 857-0187
- NPI assigned
- Nov 6, 2007
- 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 | 1673 | NM | Primary |
Addresses
Primary practice location
8901 Lowell Dr NE
Lowell Es
Albuquerque, NM 87122-4400
Mailing address
8901 Lowell Dr NE
Lowell Es
Albuquerque, NM 87122-4400
Phone (505) 857-0187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63405202 | Medicaid | NM |
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 |
|---|---|---|---|
| 1673 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1487834511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 LOWELL DR NE",
"address_2": "LOWELL ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871224400",
"telephone_number": "505-857-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 LOWELL DR NE",
"address_2": "LOWELL ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871224400",
"telephone_number": "505-857-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERTSON",
"first_name": "MARY",
"middle_name": "ELLA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "1673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "63405202",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.