Kristin L Gulick, OTR/L, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

914195 Issued in OR

Practice address

2100 NE Neff Rd
Suite a
Bend, OR 97701-6213

Phone

(541) 633-7535

Fax

(541) 706-9036

NPI assigned

Nov 28, 2005

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hand and Arm Therapy of Central Oregon IncGroup PAC ID 6709911043, 3 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hand and Arm Therapy of Central Oregon Inc

  • Hand Occupational Therapist
  • Bend, OR
  • NPI 1538499215
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1932182516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7377",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977087377",
            "telephone_number": "541-633-7535",
            "fax_number": "541-706-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE NEFF RD",
            "address_2": "SUITE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016213",
            "telephone_number": "541-633-7535",
            "fax_number": "541-706-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULICK",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "914195",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00003451",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L & I",
            "identifier": "0255903",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115514",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine Grund
• Mia Guadian
• Nicole Guerra Willingham, LMT
• Christopher Guiley, FNP
• Ronald Ray Guiley, O.D., M.P.H.
• Thomas Gulick, CSWA, CADCIII
• Holly K Gullickson, PT
• Joshua Michael Gulvin, M.D.
• Melissa T Gunasekera, M.D.
• Jade Gundersen

• Hand Occupational Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Hand Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.