Active NPI
Laura Gieselman
- Occupational Therapist
- Avondale, AZ
National Provider Identifier
1013023266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2721
- Practice address
- 325 W. Western Ave
Avondale, AZ 85323 - Phone
- (623) 772-5190
- NPI assigned
- Aug 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2721 | AZ | Primary |
Addresses
Primary practice location
325 W. Western Ave
Avondale, AZ 85323
Mailing address
17638 W Hale Bop Dr
Goodyear, AZ 85338-5470
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013023266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17638 W HALE BOP DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853385470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W. WESTERN AVE",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "85323",
"telephone_number": "623-772-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIESELMAN",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "2721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.