Individual provider Active NPI

Gayle H Yeager, OT

  • Occupational Therapist
  • Sebring, FL
National Provider Identifier
1720168925
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11307 Issued in FL
Practice address
100 YMCA LN
Sebring, FL 33875-4352
Phone
(863) 382-2949
Fax
(863) 382-4732
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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 OT11307 FL Primary

Addresses

Primary practice location

100 YMCA LN
Sebring, FL 33875-4352

Mailing address

100 YMCA LN
Sebring, FL 33875-4352
Phone (863) 382-2949

Other identifiers 1

IdentifierTypeStateIssuer
OT11307OtherFLSTATE OF FLORIDA OT LICEN

Other names 1

  • Ms. Gayle H Kolakowski Former name

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
OT11307FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bowyer Physical Therapy Inc PastSince Jun 21, 2006 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1720168925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YMCA LN",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338754352",
            "telephone_number": "863-382-2949",
            "fax_number": "863-382-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YMCA LN",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338754352",
            "telephone_number": "863-382-2949",
            "fax_number": "863-382-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "GAYLE",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA OT LICEN",
            "identifier": "OT11307",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "KOLAKOWSKI",
            "middle_name": "H",
            "prefix": "MS.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.