Ashley Gortler, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT18267 Issued in FL

Practice address

17901 NW 5TH St Ste 201
Pembroke Pines, FL 33029-2810

Phone

(954) 606-5430

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1952965162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SW 31ST ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152928",
            "telephone_number": "954-806-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 NW 5TH ST STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292810",
            "telephone_number": "954-606-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORTLER",
        "first_name": "ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT18267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14453673",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Gordon
• Emily Gore, APRN
• Ana Paula Gorgoll Fernandez
• Jeffrey Gorley
• Michael Andrew Gorman, D.M.D.
• Vitra Gosine, M.D.
• Jay Stuart Gottlieb, DO
• Juliette Govanlu, OTA
• Isel Govin
• Tomasz A Grabczak, DDS

• Pediatric Occupational Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.