Individual provider Active NPI

Gina Danielle Avitia

  • Occupational Therapist
  • Prairie Village, KS
National Provider Identifier
1760345284
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-04233 Issued in KS
Practice address
7300 Nall Ave
Prairie Village, KS 66208-2453
Phone
(913) 335-0428
Fax
(913) 273-2572
NPI assigned
Dec 3, 2025
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 17-04233 KS Primary

Addresses

Primary practice location

7300 Nall Ave
Prairie Village, KS 66208-2453

Mailing address

7300 Nall Ave
Prairie Village, KS 66208-2453
Phone (913) 335-0428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7300 Nall Ave
Overland Park, KS 66208-2453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-04233KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
I Can Therapy LLC Occupational Therapist CurrentSince Dec 7, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1760345284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 NALL AVE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082453",
            "telephone_number": "913-335-0428",
            "fax_number": "913-273-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 NALL AVE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082453",
            "telephone_number": "913-335-0428",
            "fax_number": "913-273-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVITIA",
        "first_name": "GINA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-04233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.