Phillip D Gamroth, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0C0001218 Issued in WA

Practice address

920 Anderson Dr
Aberdeen, WA 98520-1007

Phone

(360) 532-5122

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1841471059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ANDERSON DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201007",
            "telephone_number": "360-532-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ANDERSON DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201007",
            "telephone_number": "360-532-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMROTH",
        "first_name": "PHILLIP",
        "middle_name": "D",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "0C0001218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Leona Franklin
• Fred R Loertscher DC PS (Loertscher Chiropractic Clinic)
• Elissa Freudenberg, PA-C
• Alyssa Dyan Fuehrer, PA-C
• Susan C Gallegos, CDP
• Erica Garcia
• Katha Suzanne Gazda, FNP-C
• George M. Whitehead D.D.S., PS
• Fatima Corbeta Gerard, ARNP
• GHCH Physician Services, LLC (Harbor Medical Group)

• Occupational Therapy Assistant in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.