Active NPI
Terry Lynn Gomme, O.T.R.
- Occupational Therapist
- Long Beach, CA
National Provider Identifier
1528302072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3866
- Practice address
- 120 Corinthian Walk
Long Beach, CA 90803-4003 - Phone
- (562) 433-7944
- NPI assigned
- Nov 22, 2012
- Last updated
- Mar 30, 2016
- 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 | 3866 | CA | Primary |
Addresses
Primary practice location
120 Corinthian Walk
Long Beach, CA 90803-4003
Mailing address
5021 Verdugo Way
Ste 105-305
Camarillo, CA 93012-8675
Phone (805) 233-7828
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1528302072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5021 VERDUGO WAY",
"address_2": "STE 105-305",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128675",
"telephone_number": "805-233-7828",
"fax_number": "805-233-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CORINTHIAN WALK",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908034003",
"telephone_number": "562-433-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMME",
"first_name": "TERRY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-22",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.