Individual provider Active NPI

Charles Gossett

  • Occupational Therapist
  • Owens Cross Roads, AL
National Provider Identifier
1609709294
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6982 Issued in AL
Practice address
3101 Mountain Cove Dr Ste B
Owens Cross Roads, AL 35763-7211
Phone
(256) 704-4261
Fax
(256) 704-0080
NPI assigned
Jun 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6982 AL Primary

Addresses

Primary practice location

3101 Mountain Cove Dr Ste B
Owens Cross Roads, AL 35763-7211

Mailing address

42465 Highway 195
Haleyville, AL 35565-7052
Phone (256) 350-1764

Other practice location 1

33 Hughes Rd
Madison, AL 35758-2238
Phone (256) 319-9327

Other practice location 2

4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Phone (256) 319-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623001115 AL Practitioner - Occupational Therapist in Private Practice 3173096070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

251 Johnston St SE
Suite 300
Decatur, AL 35601-2515

42465 Hwy 195
Haleyville, AL 35565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6982ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists PastSince May 20, 2021 Accepting new patients
Sportsmed Orthopaedic Specialists, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1609709294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42465 HIGHWAY 195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657052",
            "telephone_number": "256-350-1764",
            "fax_number": "256-355-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MOUNTAIN COVE DR STE B",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357637211",
            "telephone_number": "256-704-4261",
            "fax_number": "256-704-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Hughes Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582238",
            "country_code": "US",
            "telephone_number": "256-319-9327",
            "fax_number": "256-319-9328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4715 Whitesburg Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358021649",
            "country_code": "US",
            "telephone_number": "256-319-8500",
            "fax_number": "256-319-8503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSSETT",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "6982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.