Individual provider Active NPI

Erin Gimar

  • Occupational Therapist
  • Rio Rancho, NM
National Provider Identifier
1649538208
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
242781 Issued in OR
Practice address
4524 Rockaway Loop NE
Rio Rancho, NM 87124-4698
Phone
(314) 322-7604
NPI assigned
May 1, 2012
Last updated
May 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1661 MT
Occupational Therapist 225X00000X 242781 OR Primary
Occupational Therapist 225X00000X 2179 CO

Addresses

Primary practice location

4524 Rockaway Loop NE
Rio Rancho, NM 87124-4698

Mailing address

4524 Rockaway Loop NE
Rio Rancho, NM 87124-4698
Phone (314) 322-7604

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

LicenseStateTypeSpecialty
2179COMDOccupational Therapist
1661MTMDOccupational Therapist
242781ORMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1649538208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 ROCKAWAY LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244698",
            "telephone_number": "314-322-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 ROCKAWAY LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244698",
            "telephone_number": "314-322-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMAR",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "1661",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "242781",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "2179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.