Active NPI
Cassandra Brielle Gebhardt, MHP, OTA
- Occupational Therapy Assistant
- Rock Island, IL
National Provider Identifier
1720608474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 2200 3Rd Ave
Rock Island, IL 61201-8840 - Phone
- (309) 779-2021
- NPI assigned
- Apr 23, 2020
- 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 Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
2200 3Rd Ave
Rock Island, IL 61201-8840
Mailing address
2200 3Rd Ave
Rock Island, IL 61201-8840
Phone (309) 779-2021
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1720608474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 3RD AVE",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612018840",
"telephone_number": "309-779-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 3RD AVE",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612018840",
"telephone_number": "309-779-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBHARDT",
"first_name": "CASSANDRA",
"middle_name": "BRIELLE",
"name_prefix": "Ms.",
"credential": "MHP, OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.