Pauline G Gardiner, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6039 Issued in MA

Practice address

11 Menotomy Rocks Dr
Arlington, MA 02476-7807

Phone

(781) 648-7111

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

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.

• Visions of Independence, LLC

  • Occupational Therapist
  • Sharon, MA
  • NPI 1992751457
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851438865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MENOTOMY ROCKS DR",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024767807",
            "telephone_number": "781-648-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MENOTOMY ROCKS DR",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024767807",
            "telephone_number": "781-648-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "PAULINE",
        "middle_name": "G",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "6039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OT LICENSE",
            "identifier": "6039",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Levin Gall, MSW, LICSW
• Diana M Gamser, M.D.
• Margery Gans, E.D.D
• Michael S Garber, DMD
• Norman Garber, OD
• Ryan Garrity
• Sheilah M. Gauch, LICSW
• Balkrishna Ramesh Gentyala, DMD
• Germaine Lawrence Incorporated
• Germaine Lawrence, Inc.

• Occupational Therapist in Arlington, MA
• Providers in Arlington, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.