Individual provider Active NPI

Jamie Marie Gachowski, M ED OTR L

  • Occupational Therapist
  • Albany, NY
National Provider Identifier
1083789705
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
011767-1 Issued in NY
Practice address
27 Hackett Blvd
Albany, NY 12208-3420
Phone
(518) 591-3365
Fax
(518) 591-3301
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5357308-4201 UT
Occupational Therapist 225X00000X 011767-1 NY Primary

Addresses

Primary practice location

27 Hackett Blvd
Albany, NY 12208-3420

Mailing address

36A Lakeview Dr
Clifton Park, NY 12065-4125
Phone (518) 944-8760

Other identifiers 1

IdentifierTypeStateIssuer
D5264MedicaidUT

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
011767-1NYMDOccupational Therapist
5357308-4201UTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1083789705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36A LAKEVIEW DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654125",
            "telephone_number": "518-944-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083420",
            "telephone_number": "518-591-3365",
            "fax_number": "518-591-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACHOWSKI",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M ED OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "5357308-4201",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011767-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D5264",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.