Rebecca Jean Gambow, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT011342 Issued in OH

Practice address

2728 Warren Burton Rd
Southington, OH 44470-9742

Phone

(330) 307-4659

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Jean Borland Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Total Care Therapy LLC

  • Physical Therapist
  • Dublin, OH
  • NPI 1639717812

  Occupational Therapist

  Medicare reassignment NPD
• Portage Therapy Services Inc

  • Occupational Therapist
  • Southington, OH
  • NPI 1245085265
  NPD

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1861174450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 20TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093508",
            "telephone_number": "216-269-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 WARREN BURTON RD",
            "city": "SOUTHINGTON",
            "state": "OH",
            "postal_code": "444709742",
            "telephone_number": "330-307-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOW",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BORLAND",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Greg Elwyn Baugher, LPN
• Barbara Benyo-Habash, LCSW-C
• Wendy Christian Davis, OTR/L
• Erin H Demoss
• William Ludwig Droste Jr.
• Julie M Gibson
• Melody Lynn Gilligan, LPN
• Angela Greathouse, CMA
• Frances J Gromley, RN
• Amie Holko

• Occupational Therapist in Southington, OH
• Providers in Southington, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.