NPIMap

Individual provider Active NPI

Cristin Anne Gasson, OTR

  • Occupational Therapist
  • Leesburg, VA
National Provider Identifier
1508919598
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119005233 Issued in VA
Practice address
906 Trailview Blvd SE
Suite a
Leesburg, VA 20175-4415
Phone
(517) 920-1490
NPI assigned
Jan 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31003821A IN
Occupational Therapist 225X00000X 0119005233 VA Primary

Addresses

Primary practice location

906 Trailview Blvd SE
Suite a
Leesburg, VA 20175-4415

Mailing address

906 Trailview Blvd SE
Suite a
Leesburg, VA 20175-4415
Phone (517) 920-1490

Other identifiers 1

IdentifierTypeStateIssuer
200729290MedicaidIN

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

LicenseStateTypeSpecialty
31003821AINMDOccupational Therapist
0119005233VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1508919598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 TRAILVIEW BLVD SE",
            "address_2": "SUITE A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754415",
            "telephone_number": "517-920-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 TRAILVIEW BLVD SE",
            "address_2": "SUITE A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754415",
            "telephone_number": "517-920-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSON",
        "first_name": "CRISTIN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003821A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200729290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.