Active NPI
Gayle H Yeager, OT
- Occupational Therapist
- Sebring, FL
National Provider Identifier
1720168925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT11307
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT11307 | Other | FL | STATE OF FLORIDA OT LICEN |
Other names 1
- Ms. Gayle H Kolakowski
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 |
|---|---|---|---|
| OT11307 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowyer Physical Therapy Inc | Past | 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.
-
- Physical Therapist
- Sebring, FL
- NPI 1649209362
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.