Active NPI
Jonathan Gasso, OTR
- Occupational Therapist
- West Bloomfield, MI
National Provider Identifier
1811457328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009976
- Practice address
- 6198 Wincliff Dr
West Bloomfield, MI 48322-2099 - Phone
- (248) 915-8592
- Fax
- (248) 328-2941
- NPI assigned
- Mar 21, 2019
- Last updated
- Nov 27, 2023
- 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 | 5201009976 | MI | Primary |
Addresses
Primary practice location
6198 Wincliff Dr
West Bloomfield, MI 48322-2099
Mailing address
6198 Wincliff Dr
West Bloomfield, MI 48322-2099
Phone (248) 915-8592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201009976 | Other | MI | OCCUPATIONAL THERAPIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgasso@parchomecare.com | Fine Home Health Care, LLC. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009976 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fine Home Health Care, LLC. | Past | Accepting new patients | |
| Parc Hospice, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba PARC Home Care
- Home Health Agency
- Farmington Hills, MI
- NPI 1194906776
-
- Adult Health Nurse Practitioner
- Farmington Hills, MI
- NPI 1649133224
-
- Occupational Therapist
- Farmington Hills, MI
- NPI 1083380729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1811457328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6198 WINCLIFF DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222099",
"telephone_number": "248-915-8592",
"fax_number": "248-328-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6198 WINCLIFF DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222099",
"telephone_number": "248-915-8592",
"fax_number": "248-328-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASSO",
"first_name": "JONATHAN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST LICENSE",
"identifier": "5201009976",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgasso@parchomecare.com",
"affiliation": "Y",
"affiliationName": "Fine Home Health Care, LLC.",
"address_1": "6450 Farmington Rd Ste 107",
"city": "West Bloomfield",
"state": "MI",
"country_code": "US",
"postal_code": "483224456",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.