Active NPI
Gabriella Rose Hall, COTA
- Occupational Therapist
- Poughkeepsie, NY
National Provider Identifier
1629899810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 011610-01
- Practice address
- 696 Dutchess Tpke Ste C
Poughkeepsie, NY 12603-6445 - Phone
- (845) 202-0157
- NPI assigned
- Oct 21, 2024
- 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 | 011610-01 | NY | Primary |
Addresses
Primary practice location
696 Dutchess Tpke Ste C
Poughkeepsie, NY 12603-6445
Mailing address
19 Ridgeview Rd
Arlington, NY 12603-4211
Phone (618) 792-9316
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 |
|---|---|---|---|
| 011610-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1629899810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 RIDGEVIEW RD",
"city": "ARLINGTON",
"state": "NY",
"postal_code": "126034211",
"telephone_number": "618-792-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 DUTCHESS TPKE STE C",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036445",
"telephone_number": "845-202-0157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "GABRIELLA",
"middle_name": "ROSE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "011610-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.