Kelly Gobler, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1006820 Issued in OR

Practice address

3000 SW 32ND Street
The Heights Assisted Living
Redmond, OR 97756

Phone

(541) 316-8263

NPI assigned

Apr 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1750778015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 NE QUINCE AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563809",
            "telephone_number": "541-706-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SW 32ND STREET",
            "address_2": "THE HEIGHTS ASSISTED LIVING",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-316-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBLER",
        "first_name": "KELLY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "1006820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Gilmore, RN
• Richard D Gilmore, D.M.D.
• Greg Michael Ginsburg, D.M.D.
• Janell Schuetze Ginsburg, D.M.D.
• Megan Elizabeth Gleason, MPT
• Jeffrey Michael Gonzales, FNP C
• Laurie Gonzales, RPH
• Patricia Gonzalez
• Goodwin Counseling & Wellness LLC
• Kelly Ross Goodwin

• Occupational Therapy Assistant in Redmond, OR
• Providers in Redmond, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.