Active NPI
Marcus Anthony Gilmore, OTR/L
- Occupational Therapist
- Apopka, FL
National Provider Identifier
1801107628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10429
- Practice address
- 2807 Falconhill Dr
Apopka, FL 32712-2444 - Phone
- (407) 627-8010
- Fax
- (800) 351-9309
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT10429 | FL | Primary |
Addresses
Primary practice location
2807 Falconhill Dr
Apopka, FL 32712-2444
Mailing address
2807 Falconhill Dr
Apopka, FL 32712-2444
Phone (407) 627-8010
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Medical LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Holland, OH
- NPI 1114100922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1801107628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 FALCONHILL DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122444",
"telephone_number": "407-627-8010",
"fax_number": "800-351-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 FALCONHILL DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122444",
"telephone_number": "407-627-8010",
"fax_number": "800-351-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "MARCUS",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT10429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.