Gabriel Bilello, COTA
Individual provider Active NPI Occupational Therapy Assistant · Buford, GA
NPI 1508217845 · NPPES record last updated Jun 28, 2016
Key facts
- NPI
- 1508217845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA.0000768 (CO)
- Practice address
- 2727 Bogan Creek Dr
Buford, GA 30519-4517 - Phone
- (225) 266-4782
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- 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 |
|---|---|---|---|
| OTA.0000768 | CO | MD | Occupational Therapy Assistant |
| OTA001907 | GA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA.0000768 | CO | Yes |
| Occupational Therapy Assistant | 224Z00000X | OTA001907 | GA |
Addresses
Primary practice location
2727 Bogan Creek Dr
Buford, GA 30519-4517
Mailing address
2727 Bogan Creek Dr
Buford, GA 30519-4517
Phone (225) 266-4782
Other providers in Buford, GA
- Beyond the Spectrum ABA Therapy, LLC
- Nirmala Bharadwaj
- Gary H Bible
- Anggia M Biggans
- Cathie Bigman
- Allison Marie Birdsong
- Rachel N Bishop
- Jennifer Hauser Bisig
- Maureen Sullivan Bixler
- Jon Lee Blackard
All providers in Buford, GA · Occupational Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2016. 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.