Active NPI
Gwendolyn Marseille
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1033312871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7070
- Practice address
- 3500 Ellington St
Charlotte, NC 28211-1102 - Phone
- (704) 336-7100
- Fax
- (704) 336-7112
- NPI assigned
- Jun 8, 2007
- 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 | 7070 | NC | Primary |
Addresses
Primary practice location
3500 Ellington St
Charlotte, NC 28211-1102
Mailing address
3500 Ellington St
Charlotte, NC 28211-1102
Phone (704) 336-7100
Other names 1
- Gwendolyn McCauley
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 |
|---|---|---|---|
| 7070 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1033312871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 ELLINGTON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111102",
"telephone_number": "704-336-7100",
"fax_number": "704-336-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 ELLINGTON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111102",
"telephone_number": "704-336-7100",
"fax_number": "704-336-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSEILLE",
"first_name": "GWENDOLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GWENDOLYN",
"last_name": "MCCAULEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.