Individual provider Active NPI

Gina Lynn Bryan, OT

  • Occupational Therapist
  • Cumberland, MD
National Provider Identifier
1780750596
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07217 Issued in MD
Practice address
309 Willowbrook Rd
Suite 2
Cumberland, MD 21502-2500
Phone
(301) 777-2170
Fax
(301) 777-2173
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 07217 MD Primary

Addresses

Primary practice location

309 Willowbrook Rd
Suite 2
Cumberland, MD 21502-2500

Mailing address

14507 Bourbon St SW
Cumberland, MD 21502-5810
Phone (304) 813-0202

Other practice location 1

10301 Christie Rd NE
Cumberland, MD 21502-8326
Phone (301) 724-1400

Other names 1

  • Gina Lynn Files Former name

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

LicenseStateTypeSpecialty
07217MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1780750596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14507 BOURBON ST SW",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025810",
            "telephone_number": "304-813-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WILLOWBROOK RD",
            "address_2": "SUITE 2",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022500",
            "telephone_number": "301-777-2170",
            "fax_number": "301-777-2173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Christie Rd NE",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215028326",
            "country_code": "US",
            "telephone_number": "301-724-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "GINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "FILES",
            "middle_name": "LYNN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.