Individual provider Active NPI

Carol Cole McGilliard, BA, BS, CERTIFICATE

  • Occupational Therapist
  • Gig Harbor, WA
National Provider Identifier
1831220995
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00000170 Issued in WA
Practice address
6659 Kimball Dr
Suite D-403
Gig Harbor, WA 98335-5137
Phone
(253) 851-3874
Fax
(253) 858-3856
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00000170 WA Primary

Addresses

Primary practice location

6659 Kimball Dr
Suite D-403
Gig Harbor, WA 98335-5137

Mailing address

6659 Kimball Dr
Ste. D-403
Gig Harbor, WA 98335-5137
Phone (253) 851-3874

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
Credentials
Bachelor of Arts, Bachelor of Science

State licenses

LicenseStateTypeSpecialty
OT00000170WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Family Connection Occupational Therapist Past Accepting new patients
Peas in a Pod Pediatrics PLLC Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831220995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 KIMBALL DR",
            "address_2": "STE. D-403",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355137",
            "telephone_number": "253-851-3874",
            "fax_number": "253-858-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 KIMBALL DR",
            "address_2": "SUITE D-403",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355137",
            "telephone_number": "253-851-3874",
            "fax_number": "253-858-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLIARD",
        "first_name": "CAROL",
        "middle_name": "COLE",
        "name_prefix": "Ms.",
        "credential": "BA, BS, CERTIFICATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00000170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.