Individual provider Active NPI

Aneta Anna Gwozdzik, C.O.T.A.

  • Occupational Therapy Assistant
  • East Longmeadow, MA
National Provider Identifier
1083747851
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1757 Issued in MA
Practice address
305 Maple St
East Longmeadow, MA 01028-2712
Phone
(413) 525-6361
Fax
(413) 525-1741
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1757 MA Primary

Addresses

Primary practice location

305 Maple St
East Longmeadow, MA 01028-2712

Mailing address

118 Woodhill Rd
Monson, MA 01057-9721
Phone (413) 267-0245

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

LicenseStateTypeSpecialty
1757MAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083747851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WOODHILL RD",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579721",
            "telephone_number": "413-267-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAPLE ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282712",
            "telephone_number": "413-525-6361",
            "fax_number": "413-525-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWOZDZIK",
        "first_name": "ANETA",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "1757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

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.

Verify at the official NPI Registry.