Individual provider Active NPI

Elisabeth G. Pollard-Gensberg, OTR/L

  • Specialist
  • Monterey, CA
National Provider Identifier
1871765818
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT10225 Issued in CA
Practice address
200 Camino Aguajito Ste 205
Monterey, CA 93940-3372
Phone
(831) 601-3841
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OT60003479 WA
Specialist 174400000X OT10225 CA Primary

Addresses

Primary practice location

200 Camino Aguajito Ste 205
Monterey, CA 93940-3372

Mailing address

15 Cielo Vista Ter
Monterey, CA 93940-6006
Phone (831) 601-3841

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

State licenses

LicenseStateTypeSpecialty
OT10225CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Pediatric Therapy, P.C. CurrentSince Jan 7, 2024 Accepting new patients

Locations

200 Camino Aguajito
Ste 205
Monterey, CA 93940
Phone (831) 205-0056

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1871765818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CIELO VISTA TER",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406006",
            "telephone_number": "831-601-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAMINO AGUAJITO STE 205",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403372",
            "telephone_number": "831-601-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD-GENSBERG",
        "first_name": "ELISABETH",
        "middle_name": "G.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "OT60003479",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT10225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.