Gretchen Anne Brubaker, MOT, OTR/L, MCIS

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OC012553 Issued in PA

Practice address

88 Juniper St
Homer City, PA 15748-1507

Phone

(724) 915-8176

NPI assigned

Aug 14, 2017

Last updated

Aug 14, 2017By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1619493483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 JUNIPER ST",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157481507",
            "telephone_number": "724-915-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 JUNIPER ST",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157481507",
            "telephone_number": "724-915-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "GRETCHEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L, MCIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC012553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033318880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alc Counseling
• Tracy A Arone, PT, ATC
• Aaron Augusty, DMD
• Richard L Barnes, MD
• Jessica Borowitz, LPC
• Caring Heart, Inc
• Cathy's Hope
• Central Orthotic & Prosthetic Co Inc
• Erin Renee Creak
• Carrie Lynn Crowder, ATC

• Pediatric Occupational Therapist in Homer City, PA
• Providers in Homer City, PA by specialty
• Pediatric Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.