Individual provider Active NPI

Gabrielle Palmer, OTD, OTR/L

  • Occupational Therapist
  • St George, UT
National Provider Identifier
1689480378
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14102041-4201 Issued in UT
Practice address
1032 E 100 S
St George, UT 84770-3005
Phone
(775) 830-1439
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14102041-4201 UT Primary

Addresses

Primary practice location

1032 E 100 S
St George, UT 84770-3005

Mailing address

473 S Whitacre St
Yerington, NV 89447-2456
Phone (775) 830-1439

Other practice location 1

160 N 200 E
Ivins, UT 84738-6100
Phone (775) 830-1439

Other practice location 2

249 E Tabernacle St Ste 102
St George, UT 84770-2951
Phone (775) 830-1439

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
14102041-4201UTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1689480378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 S WHITACRE ST",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472456",
            "telephone_number": "775-830-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 E 100 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703005",
            "telephone_number": "775-830-1439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N 200 E",
            "address_purpose": "LOCATION",
            "city": "Ivins",
            "state": "UT",
            "postal_code": "847386100",
            "country_code": "US",
            "telephone_number": "775-830-1439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 E Tabernacle St Ste 102",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847702951",
            "country_code": "US",
            "telephone_number": "775-830-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "14102041-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.