Active NPI
Jean Marie Gill, MSOTRL
- Occupational Therapist
- Waterbury, NE
National Provider Identifier
1740353119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01332
- Practice address
- 58850 8685 Rd
Waterbury, NE 68785-3023 - Phone
- (712) 251-7862
- NPI assigned
- Nov 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01332 | IA | Primary |
| Occupational Therapist | 225X00000X | 1084 | NE | |
| Occupational Therapist | 225X00000X | 0646 | SD |
Addresses
Primary practice location
58850 8685 Rd
Waterbury, NE 68785-3023
Mailing address
58850 8685 Rd
Waterbury, NE 68785-3023
Phone (402) 638-2301
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0646 | SD | MD | Physical Therapist |
| 01332 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sioux City Physical Therapy PC | Occupational Therapist | Past | Accepting new patients |
| Children's Care Hospital and School | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Rapid City, SD
- NPI 1174722169
-
dba Sioux City Physical Therapy
- Physical Therapist
- Sioux City, IA
- NPI 1346313996
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1740353119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58850 8685 RD",
"city": "WATERBURY",
"state": "NE",
"postal_code": "687853023",
"telephone_number": "402-638-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58850 8685 RD",
"city": "WATERBURY",
"state": "NE",
"postal_code": "687853023",
"telephone_number": "712-251-7862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "JEAN",
"middle_name": "MARIE",
"credential": "MSOTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01332",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1084",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0646",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.