Jill Darlene Gilbank, BSC OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

CA89361 Issued in AZ

Practice address

2200 Havasupai Blvd
Lake Havasu City, AZ 86403-3798

Phone

(928) 505-6911

Fax

(928) 505-6991

NPI assigned

Nov 16, 2006

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)

Not enrolled

State licenses

Practice roles

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.

• Lake Havasu Unified School District #1

  • Local Education Agency (LEA)
  • Lake Havasu City, AZ
  • NPI 1790879864
  NPD (past)
• Milemarkers Therapy Inc

  • Speech-Language Pathologist
  • Lake Havasu City, AZ
  • NPI 1649287327
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649343542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HAVASUPAI BLVD",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864033798",
            "telephone_number": "928-505-6911",
            "fax_number": "928-505-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HAVASUPAI BLVD",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864033798",
            "telephone_number": "928-505-6911",
            "fax_number": "928-505-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBANK",
        "first_name": "JILL",
        "middle_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "BSC OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "CA89361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOCOT",
            "identifier": "AA602003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Rusch Garcia, D.C.
• Leticia Garcia, PHARMD
• Andrew Geigle, DMD
• Shaina Geisler
• Lisa J Gibbs, M.A., CCC-A
• Kelsy Gilmore
• Debbie A Gilsdorf
• Erin Rose Ginsburg, PTA
• Terrence Patrick Gleason, M.D.
• Rafael Francisco Chupeco Go, MD, MBA, MS

• Occupational Therapist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.