Gina Sipes
Individual provider Active NPI Occupational Therapy Assistant · Boonsboro, MD
NPI 1487993192 · NPPES record last updated Feb 1, 2013
Key facts
- NPI
- 1487993192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A01518 (MD)
- Practice address
- 141 S Main St
Boonsboro, MD 21713-1203 - Phone
- (301) 432-1530
- NPI assigned
- Feb 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01518 | MD | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A01518 | MD | Yes |
Addresses
Primary practice location
141 S Main St
Boonsboro, MD 21713-1203
Mailing address
141 S Main St
Boonsboro, MD 21713-1203
Phone (301) 432-1530
Other providers in Boonsboro, MD
- San Mar Community Services Inc.
- San Mar Inc
- Joseph J Scalese III
- Vivian S Sewell
- Sean Robert Michael Sims
- Angela M Sluzalis
- SM Rehab
- Aaron M. Smith
- Stephanie A Snyder
- South Mountain Community Health LLC
All providers in Boonsboro, MD · Occupational Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.