Active NPI
Gauri Wallace, OTR/L
- Occupational Therapist
- Rome, NY
National Provider Identifier
1023442860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012476-1
- Practice address
- 1 Elsie St
Rome, NY 13440-2556 - Phone
- (315) 339-2220
- NPI assigned
- Aug 28, 2013
- 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 | 012476-1 | NY | Primary |
Addresses
Primary practice location
1 Elsie St
Rome, NY 13440-2556
Mailing address
4 Family Cir
Lee Center, NY 13363-9728
Phone (315) 571-4229
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 |
|---|---|---|---|
| 012476-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1023442860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FAMILY CIR",
"city": "LEE CENTER",
"state": "NY",
"postal_code": "133639728",
"telephone_number": "315-571-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELSIE ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402556",
"telephone_number": "315-339-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "GAURI",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012476-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.