Ricky Vinson Gann, MS, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

OT004440 Issued in GA

Practice address

809 S Broad St SW
Rome, GA 30161-4654

Phone

(706) 235-1337

NPI assigned

Dec 3, 2012

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1780929679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EAST DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S BROAD ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614654",
            "telephone_number": "706-235-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANN",
        "first_name": "RICKY",
        "middle_name": "VINSON",
        "name_prefix": "Mr.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "GA",
            "license": "OT004440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth H Galland, NP
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• Roman L Galysh Jr., MD
• Satya Sailaja Bindu Gandrapu Balanaga, MD
• Laura Gann, COTA/L CPAM
• Kevin Garcia Rosas, DC
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• Garden Lakes Pharmacy, Inc.
• Farrah Gardner, NP

• Gerontology Occupational Therapist in Rome, GA
• Providers in Rome, GA by specialty
• Gerontology Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.