Vanessa Ann Gorth, COTA
Individual provider Active NPI Occupational Therapy Assistant · Greensburg, IN
NPI 1629565874 · NPPES record last updated Apr 13, 2018
Key facts
- NPI
- 1629565874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32003090A (IN)
- Practice address
- 832 E North St
Greensburg, IN 47240-2207 - Phone
- (812) 560-2783
- NPI assigned
- Apr 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32003090A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32003090A | IN | Yes |
Addresses
Primary practice location
832 E North St
Greensburg, IN 47240-2207
Mailing address
832 E North St
Greensburg, IN 47240-2207
Phone (812) 560-2783
Other providers in Greensburg, IN
- Stephanie Lynn Gant
- Matthew Hiram Gauck
- Sunil Ghosh
- Lauren Nicole Gill
- Haley Elizabeth Gorrell
- James Gosmeyer
- Kristen Suzanne Gracia
- Hunter Gray
- Greensburg Community School Corporation
- Greensburg Medical Associates P.C.
All providers in Greensburg, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.