Individual provider Active NPI

Erin McLain Gysbers, MOT, OTR/L

  • Occupational Therapist
  • Traverse City, MI
National Provider Identifier
1861916728
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007914 Issued in MI
Practice address
121 S Garfield Ave Ste a
Traverse City, MI 49686-2967
Phone
(231) 735-1185
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5201007914 MI Primary

Addresses

Primary practice location

121 S Garfield Ave Ste a
Traverse City, MI 49686-2967

Mailing address

121 S Garfield Ave Ste a
Traverse City, MI 49686-2967
Phone (231) 735-1185

Other names 1

  • Miss Erin Lynn McLain Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abdominopelvic Health, PLLC Occupational Therapist CurrentSince Jul 24, 2022 Accepting new patients

Locations

121 S Garfield Ave
Ste A
Traverse City, MI 49686
Phone (231) 929-2612

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861916728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S GARFIELD AVE STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862967",
            "telephone_number": "231-735-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S GARFIELD AVE STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862967",
            "telephone_number": "231-735-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYSBERS",
        "first_name": "ERIN",
        "middle_name": "MCLAIN",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MCLAIN",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.