Active NPI
Gavin Gigstad
- Occupational Therapy Assistant
- Bullhead City, AZ
National Provider Identifier
1992149371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5226
- Practice address
- 2150 Silver Creek Rd
Bullhead City, AZ 86442-8472 - Phone
- (928) 763-8700
- NPI assigned
- Apr 29, 2013
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 5226 | AZ | Primary |
Addresses
Primary practice location
2150 Silver Creek Rd
Bullhead City, AZ 86442-8472
Mailing address
547 E Savannah St
Vail, AZ 85641-2342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5226 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1992149371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 E SAVANNAH ST",
"city": "VAIL",
"state": "AZ",
"postal_code": "856412342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 SILVER CREEK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428472",
"telephone_number": "928-763-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIGSTAD",
"first_name": "GAVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "5226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.