NPIMap

Individual provider Active NPI

Tosha Aminah Gaines, OTR/L

  • Pediatric Occupational Therapist
  • Pelham, AL
National Provider Identifier
1558680413
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2630 Issued in AL
Practice address
2685 Pelham Pkwy
Suite C
Pelham, AL 35124-1354
Phone
(205) 621-6503
Fax
(205) 621-6507
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2630 AL Primary

Addresses

Primary practice location

2685 Pelham Pkwy
Suite C
Pelham, AL 35124-1354

Mailing address

2685 Pelham Pkwy
Suite C
Pelham, AL 35124-1354
Phone (205) 621-6503

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
2630ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Therapeutic Interventions Current Accepting new patients
Easter Seals of the Birmingham Area Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1558680413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 PELHAM PKWY",
            "address_2": "SUITE C",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241354",
            "telephone_number": "205-621-6503",
            "fax_number": "205-621-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 PELHAM PKWY",
            "address_2": "SUITE C",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241354",
            "telephone_number": "205-621-6503",
            "fax_number": "205-621-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "TOSHA",
        "middle_name": "AMINAH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "2630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.