Gabrielle Kirk, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056011812 Issued in IL

Practice address

811 W Evergreen Ave
Unit 404
Chicago, IL 60642-7113

Phone

(312) 242-1665

NPI assigned

Apr 17, 2017

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1669906731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 ASHBURY DR",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214991",
            "telephone_number": "973-270-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W EVERGREEN AVE",
            "address_2": "UNIT 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427113",
            "telephone_number": "312-242-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "GABRIELLE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056011812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "920411749",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan William Kirdahy, PA-C
• Kireet Agrawal Incorporated
• Andrea Kirincic Simovic, DO
• Kirit Joshi MDSC.
• Brandy Kirk
• Layton Kirk, MA
• Rebecca Kirk
• Sumi Kirk, MA
• Rachel Kirkes
• Brooke Marette Kirkham, DO

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.