LISA G GIMBERT (OTR/L) – Occupational Therapist, NPI 1972979532

LISA G GIMBERT (OTR/L) is a healthcare provider. based in Sunnyvale, California. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 15403 (CA). The NPI Number for LISA G GIMBERT (OTR/L) is 1972979532

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LISA G GIMBERT (OTR/L)
NPI
1972979532
Phone
(717) 951-8055
Address
521 FERN RIDGE CT
Enumeration Date
18 August 2015
Last Update Date
14 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8319990880
Graduation Year
2008 (18 years ago)
PAC ID
3971906124
Group Practice PAC ID
9032659636
Professional Enrollment ID
I20210726001168
Address ID
CA95125XXXXSAXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,224 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for LISA G GIMBERT (OTR/L)

  • 521 FERN RIDGE CT

    SUNNYVALE, CA 940873276

    Phone: (717) 951-8055

    Type: Mailing

  • 1441 CONSTITUTION BLVD

    SALINAS, CA 939063100

    Phone: (831) 772-7477

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210726001168IOccupational Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94087)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032659636View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What federal number belongs to LISA G GIMBERT (OTR/L)?
The federal identifier for LISA G GIMBERT (OTR/L) is NPI 1972979532.
Does this profile mean LISA G GIMBERT (OTR/L) is currently active?
Yes — LISA G GIMBERT (OTR/L) appears active in the national provider directory.
What field does LISA G GIMBERT (OTR/L) work in?
You can think of LISA G GIMBERT (OTR/L) as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is LISA G GIMBERT (OTR/L)'s primary listing?
We display Sunnyvale, California because that is what the record indicates for LISA G GIMBERT (OTR/L).
Is LISA G GIMBERT (OTR/L) a real provider?
This page reflects official NPPES data for NPI 1972979532. Always confirm identity and privileges with the practice and licensing boards.

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