Active NPI
Lisa G Gimbert, OTR/L
- Occupational Therapist
- Salinas, CA
National Provider Identifier
1972979532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1441 Constitution Blvd
Salinas, CA 93906-3100 - Phone
- (831) 772-7477
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 15403 | CA | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1441 Constitution Blvd
Salinas, CA 93906-3100
Mailing address
521 Fern Ridge CT
Sunnyvale, CA 94087-3276
Phone (717) 951-8055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210726001168 | CA | Practitioner - Occupational Therapist in Private Practice | 3971906124 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shepardson Physical Therapy Corporation
Practice addresses (Care Compare)
San Jose, CA 95125
Phone (831) 999-0880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shepardson Physical Therapy Corporation | Current | Accepting new patients |
Locations
1314 Lincoln Ave
Ste 1F
San Jose, CA 95125
Phone (831) 999-0880
4630 Soquel Dr
Ste 2
Soquel, CA 95073
Phone (831) 204-0095
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- San Jose, CA
- NPI 1497593602
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1972979532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 FERN RIDGE CT",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873276",
"telephone_number": "717-951-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 CONSTITUTION BLVD",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063100",
"telephone_number": "831-772-7477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIMBERT",
"first_name": "LISA",
"middle_name": "G",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "15403",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.