Provider Demographics
NPI:1548225626
Name:GILBERT, TOBI R (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:TOBI
Middle Name:R
Last Name:GILBERT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 322
Mailing Address - Street 2:
Mailing Address - City:ISLESBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04848-0322
Mailing Address - Country:US
Mailing Address - Phone:832-465-5337
Mailing Address - Fax:
Practice Address - Street 1:374 PENDLETON POINT RD
Practice Address - Street 2:
Practice Address - City:ISLESBORO
Practice Address - State:ME
Practice Address - Zip Code:04848
Practice Address - Country:US
Practice Address - Phone:832-465-5337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108389225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8E0182Medicare ID - Type Unspecified
Q40878Medicare UPIN