Individual provider Active NPI

Michael J Gasiewski, OT

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1144365586
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC004531L Issued in PA
Practice address
2716 Orthodox St
Philadelphia, PA 19137-1604
Phone
(215) 743-4435
Fax
(215) 743-8848
NPI assigned
Feb 21, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 46TR00164100 NJ
Occupational Therapist 225X00000X OC004531L PA Primary

Addresses

Primary practice location

2716 Orthodox St
Philadelphia, PA 19137-1604

Mailing address

2 Plumridge Rd
Doylestown, PA 18901-9244
Phone (215) 794-9335

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC004531LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Home Health, LLC PastSince Aug 11, 2005 Accepting new patients
Northeast Medical Supplies LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1144365586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PLUMRIDGE RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189019244",
            "telephone_number": "215-794-9335",
            "fax_number": "215-743-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 ORTHODOX ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371604",
            "telephone_number": "215-743-4435",
            "fax_number": "215-743-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASIEWSKI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00164100",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004531L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.