Gabriella S Bologna

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT22229 Issued in FL

Practice address

413 E Palmetto Park Rd Apt 540
Boca Raton, FL 33432-5187

Phone

(561) 929-6569

NPI assigned

Sep 1, 2021

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

Other identifiers 1

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1821766205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E PALMETTO PARK RD APT 540",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E PALMETTO PARK RD APT 540",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325187",
            "telephone_number": "561-929-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOGNA",
        "first_name": "GABRIELLA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY",
            "identifier": "OT22229",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn R Bohm, EDD ARNP LCSW
• Paige Bohner
• Anastasiya Boikova, OTR
• Reid Boland, LMHC
• Jennifer Anne Bolen, MPT
• Frederick Joseph Boltz, M.D.
• Keri Bomarito, RD, LD/N
• Bonaventure Health Services Inc.
• Ievgeniia Bonchuk, LMHC
• Bonemender, LLC.

• Occupational Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.