Elizabeth Anne Gannon, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

006474-2 Issued in NY

Practice address

204 Martin Rd
Lagrangeville, NY 12540-6348

Phone

(845) 223-9808

NPI assigned

Mar 19, 2009

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

State licenses

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1790926822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MARTIN RD",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125406348",
            "telephone_number": "845-223-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MARTIN RD",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125406348",
            "telephone_number": "845-223-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "006474-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy L Flores
• Kristen N Forehand, DMD
• Christine Frankel, LPN
• Stephen H Gair
• Valerie Ann Galanopoulos, R.N.
• Tarin Kadyne Gardner, RN
• David P Gatta, ATC
• Susan Geiger, PT
• Sophia Gelaj Johnston, RN
• Douglas S. Gilmour

• Pediatric Occupational Therapist in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.