Active NPI
Jack Gigli, OTR/L
- Occupational Therapist
- Rye Brook, NY
National Provider Identifier
1801420740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 018028
- Practice address
- 15 Maywood Ave
Rye Brook, NY 10573-2401 - Phone
- (914) 760-2383
- NPI assigned
- Mar 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004085 | CT | |
| Occupational Therapist | 225X00000X | 018028 | NY | Primary |
Addresses
Primary practice location
15 Maywood Ave
Rye Brook, NY 10573-2401
Mailing address
15 Maywood Ave
Rye Brook, NY 10573-2401
Phone (914) 760-2383
Other practice location 1
15 Maywood Ave
Rye Brook, NY 10573-2401
Phone (914) 760-2383
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018028 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583020800000",
"number": "1801420740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MAYWOOD AVE",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105732401",
"telephone_number": "914-760-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MAYWOOD AVE",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105732401",
"telephone_number": "914-760-2383"
}
],
"practiceLocations": [
{
"address_1": "15 Maywood Ave",
"address_purpose": "LOCATION",
"city": "Rye Brook",
"state": "NY",
"postal_code": "105732401",
"country_code": "US",
"telephone_number": "914-760-2383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIGLI",
"first_name": "JACK",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-01",
"last_updated": "2020-03-01",
"certification_date": "2020-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "004085",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "018028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rye Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.