Active NPI
Clare Michelle Gordon, OTR
- Occupational Therapist
- Austin, TX
National Provider Identifier
1609056837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110135
- Practice address
- 1201 W 38TH St
Seton 8TH Floor North
Austin, TX 78705-1006 - Phone
- (512) 406-6300
- NPI assigned
- Nov 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 110135 | TX | Primary |
Addresses
Primary practice location
1201 W 38TH St
Seton 8TH Floor North
Austin, TX 78705-1006
Mailing address
11203 Oak Knoll Dr
Austin, TX 78759-4703
Phone (512) 336-3852
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110135 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1609056837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11203 OAK KNOLL DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594703",
"telephone_number": "512-336-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W 38TH ST",
"address_2": "SETON 8TH FLOOR NORTH",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051006",
"telephone_number": "512-406-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "CLARE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.