Takiyah Gilmore, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

6186 Issued in NC

Practice address

Ft Bragg Army Base Womack Medical
Fort Bragg, NC 28310-0001

Phone

(910) 643-2362

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1760682124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BLACKHAWK LN",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768275",
            "telephone_number": "803-378-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FT BRAGG ARMY BASE WOMACK MEDICAL",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-643-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "TAKIYAH",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "6186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telisa Foots Gibson
• Ashley Gilbert, RD
• Charles Gilcrist
• Linda Jane Giles, LICSW SOCIAL WORK
• Cristin Gilleran, LCSW
• Christina Marie Girard, DO
• Taylor Christine Gladysz, LCSWA
• Laura Glenz, MOT, OTR/L
• Linda Knapp Glisson, O.D.
• Nathan Joseph Globke, PA-C

• Occupational Therapy Assistant in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.