Individual provider Active NPI

Gabrielle Heron Winkler

  • Occupational Therapist
  • Caledonia, MI
National Provider Identifier
1790553535
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3770 Cobblefield Cir SE Unit 4
Caledonia, MI 49316-8540
Phone
(989) 619-5117
NPI assigned
Dec 12, 2023
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 Primary

Addresses

Primary practice location

3770 Cobblefield Cir SE Unit 4
Caledonia, MI 49316-8540

Mailing address

3770 Cobblefield Cir SE Unit 4
Caledonia, MI 49316-8540
Phone (989) 619-5117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807000518 ID Practitioner - Occupational Therapist in Private Practice 8729586052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake City Physical Therapy P aGroup PAC ID 3678465234, 13 clinicians

Practice addresses (Care Compare)

2065 W Riverstone Dr
Suite 101
Coeur D Alene, ID 83814-5699
Phone (208) 667-1988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Physical Therapy P a Occupational Therapist CurrentSince Jul 22, 2025 Accepting new patients
Lake City Physical Therapy P a Occupational Therapist CurrentSince Jul 22, 2025 Accepting new patients

Locations

2065 W Riverstone Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-1988

2170 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 667-1988

8238 N Government Way
Hayden, ID 83835
Phone (208) 762-2100

Organizations & group practices 2

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1790553535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 COBBLEFIELD CIR SE UNIT 4",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168540",
            "telephone_number": "989-619-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 COBBLEFIELD CIR SE UNIT 4",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168540",
            "telephone_number": "989-619-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLER",
        "first_name": "GABRIELLE",
        "middle_name": "HERON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.