Active NPI
Laura M Gosselin, OTR/L
- Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1669018263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC016716
- Practice address
- 5548 Chestnut St
Philadelphia, PA 19139-3277 - Phone
- (215) 471-3320
- NPI assigned
- Nov 19, 2019
- 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 | OC016716 | PA | Primary |
Addresses
Primary practice location
5548 Chestnut St
Philadelphia, PA 19139-3277
Mailing address
987 Swayze Ave
Washington Crossing, PA 18977-1427
Phone (267) 799-6960
Other practice location 1
638 Brandywine Pkwy
West Chester, PA 19380-4278
Phone (610) 436-3600
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 |
|---|---|---|---|
| OC016716 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay, LLC | Past | Accepting new patients | |
| Theraplay, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- West Chester, PA
- NPI 1720068489
-
- Clinic/Center
- West Chester, PA
- NPI 1982032793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1669018263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "987 SWAYZE AVE",
"city": "WASHINGTON CROSSING",
"state": "PA",
"postal_code": "189771427",
"telephone_number": "267-799-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5548 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393277",
"telephone_number": "215-471-3320"
}
],
"practiceLocations": [
{
"address_1": "638 Brandywine Pkwy",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "PA",
"postal_code": "193804278",
"country_code": "US",
"telephone_number": "610-436-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSSELIN",
"first_name": "LAURA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC016716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.