Active NPI
Erin Elizabeth Gaines, OTR/L
- Occupational Therapist
- Chandler, AZ
National Provider Identifier
1932335379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4360
- Practice address
- 815 E Warner Rd
Chandler, AZ 85225-1057 - Phone
- (480) 963-5800
- NPI assigned
- May 29, 2009
- Last updated
- May 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4360 | AZ | Primary |
Addresses
Primary practice location
815 E Warner Rd
Chandler, AZ 85225-1057
Mailing address
995 E Baseline Rd
Apt 2056
Tempe, AZ 85283-1333
Phone (480) 206-0496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211112000422 | ME | Practitioner - Occupational Therapist in Private Practice | 5698020709 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Brunswick Physical Therapy P.a. | Current | Accepting new patients | |
| Pioneer Pet, LLC | Past | Accepting new patients |
Locations
326 Harlow St
Bangor, ME 04401
Phone (207) 460-1450
Organizations & group practices 2
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.
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- Physical Therapist
- Topsham, ME
- NPI 1568567659
-
- Diagnostic Radiology Physician
- Tempe, AZ
- NPI 1265401996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1932335379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 E BASELINE RD",
"address_2": "APT 2056",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831333",
"telephone_number": "480-206-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E WARNER RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251057",
"telephone_number": "480-963-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "4360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.