Gail Ann Donovan, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201000554 Issued in MI

Practice address

560 Fifth St NW
Suite 404
Grand Rapids, MI 49504-5219

Phone

(616) 356-5000

Fax

(616) 356-5001

NPI assigned

Mar 10, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Stanton Crossings Physical Therapy LLC

  • Physical Therapist
  • West Olive, MI
  • NPI 1609802313
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1861633505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8569 STOUT AVE",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381394",
            "telephone_number": "734-675-9027",
            "fax_number": "734-782-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 FIFTH ST NW",
            "address_2": "SUITE 404",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045219",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "GAIL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua David Donkin, MD
• Tamiya Donley
• Donnacare at Home LLC
• Sean Michael Donnelly, DO
• Rye Donohue
• Isabella Donovan
• Matthew M Donovan, MD
• Allison Marie Donth, PA
• Susan Dood
• Tarita Dooley

• Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.