Individual provider Active NPI

Cara Rebecca Gilison, OTR/L

  • Occupational Therapist
  • Citra, FL
National Provider Identifier
1962960781
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19261 Issued in FL
Practice address
4246 W Highway 318
Citra, FL 32113-2141
Phone
(904) 540-5853
NPI assigned
Mar 11, 2019
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 19261 FL Primary

Addresses

Primary practice location

4246 W Highway 318
Citra, FL 32113-2141

Mailing address

1516 Anderson St
Green Cove Springs, FL 32043-3741
Phone (904) 540-5853

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250720000040 FL Practitioner - Occupational Therapist in Private Practice 9638685498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19261FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy on Hooves PLLC Multi-Specialty CurrentSince Jul 15, 2025 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1962960781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 ANDERSON ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433741",
            "telephone_number": "904-540-5853",
            "fax_number": "904-781-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 W HIGHWAY 318",
            "city": "CITRA",
            "state": "FL",
            "postal_code": "321132141",
            "telephone_number": "904-540-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILISON",
        "first_name": "CARA",
        "middle_name": "REBECCA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.

Verify at the official NPI Registry.