Johanna Gingras, COTA L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP003517L Issued in PA

Practice address

30 West Ave
Wayne, PA 19087-3322

Phone

(610) 293-2595

Fax

(610) 995-1350

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Johanna Gilmore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578764692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GARRISON WAY",
            "city": "GULPH MILLS",
            "state": "PA",
            "postal_code": "194282513",
            "telephone_number": "610-527-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WEST AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873322",
            "telephone_number": "610-293-2595",
            "fax_number": "610-995-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRAS",
        "first_name": "JOHANNA",
        "name_prefix": "Mrs.",
        "credential": "COTA L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP003517L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "GILMORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Toby Nathan Gershon, O.D.
• Kendall Gessig, OTR/L
• Heather Giandonato
• Patricia Ruth Giangiulio, L.C.S.W.
• Sheila Anne Gillin, LSW
• Erin Giovanni, CCC-SLP
• Danielle Giroult, OT
• Anna Gjertsen, PSYD., BCB
• Anneliese K. Glasgow, FNP-BC
• Theodore A Glazer, D.C.

• Occupational Therapy Assistant in Wayne, PA
• Providers in Wayne, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.