Individual provider Active NPI

Kristin Kay Gillard, OT RL

  • Mental Health Occupational Therapist
  • Rochester, MN
National Provider Identifier
1821139049
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
103227 Issued in MN
Practice address
3520 E River Rd NE
Rochester, MN 55906-5407
Phone
(507) 258-3287
Fax
(507) 258-3288
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X 103227 MN Primary

Addresses

Primary practice location

3520 E River Rd NE
Rochester, MN 55906-5407

Mailing address

3520 E River Rd NE
Rochester, MN 55906-5407
Phone (507) 258-3287

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1821139049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E RIVER RD NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559065407",
            "telephone_number": "507-258-3287",
            "fax_number": "507-258-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E RIVER RD NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559065407",
            "telephone_number": "507-258-3287",
            "fax_number": "507-258-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLARD",
        "first_name": "KRISTIN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "OT RL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "MN",
            "license": "103227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.