Rachel Gilliam

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA 14859 Issued in FL

Practice address

207 Marshall Dr
Perry, FL 32347

Phone

(850) 584-6334

NPI assigned

Jan 28, 2016

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jan 28, 2016.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1609233170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22869 AUCILLA LANDING RD",
            "city": "LAMONT",
            "state": "FL",
            "postal_code": "32336",
            "telephone_number": "850-843-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MARSHALL DR",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "32347",
            "telephone_number": "850-584-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 14859",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA 272693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gainesville Vamc
• Kimberly Michelle Gamble, HEALTH CARE PROVIDER
• James Andrew Garcia, HAS
• Julie C Gaston, RN
• Antoine Gavin, APRN
• April Glasper
• Emily Grant, COTA/L
• Jeremy Lee Gray, P.T.
• Guillot Enterprises, LLC
• Lori Gulbrandsen

• All providers in Perry, FL
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.