Individual provider Active NPI

Gabriel Hilding Thomson, OT

  • Occupational Therapist
  • Oak Creek, WI
National Provider Identifier
1932827052
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
140 E Rawson Ave Ste 317
Oak Creek, WI 53154-1525
Phone
(262) 287-0090
NPI assigned
Aug 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 Primary

Addresses

Primary practice location

140 E Rawson Ave Ste 317
Oak Creek, WI 53154-1525

Mailing address

2730A N Oakland Ave
Milwaukee, WI 53211-3533
Phone (920) 344-6769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018000377 WI Practitioner - Occupational Therapist in Private Practice 7214382712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Therapy at Home LLCGroup PAC ID 0244522217, 10 clinicians
Muslim Community and Health Center of Wisconsin Inc.Group PAC ID 7618258062, 17 clinicians

Practice addresses (Care Compare)

7711 Freeland CT
Greendale, WI 53129-1658
Phone (414) 210-0088

803 W Layton Ave
Milwaukee, WI 53221-2426
Phone (414) 939-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Muslim Community and Health Center of Wisconsin Inc CurrentSince Oct 4, 2023 Accepting new patients
Therapy at Home LLC CurrentSince Oct 4, 2023 Accepting new patients
Comprehensive Podiatry Services CurrentSince Oct 4, 2023 Accepting new patients
Medical Support Services Inc PastSince Aug 28, 2022 Accepting new patients

Locations

307 W Layton Ave
Unit 2B
Milwaukee, WI 53207

803 W Layton Ave
Milwaukee, WI 53221
Phone (414) 253-8330

Organizations & group practices 4

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1932827052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730A N OAKLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113533",
            "telephone_number": "920-344-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E RAWSON AVE STE 317",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541525",
            "telephone_number": "262-287-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "GABRIEL",
        "middle_name": "HILDING",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.