Active NPI
Emma Gietek, MSORT
- Occupational Therapist
- Virginia Beach, VA
National Provider Identifier
1154990711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119009133
- Practice address
- 5301 Providence Rd Ste 80And90
Virginia Beach, VA 23464-4128 - Phone
- (757) 467-4604
- Fax
- (757) 467-4606
- NPI assigned
- Jun 18, 2021
- 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 | 0119009133 | VA | Primary |
Addresses
Primary practice location
5301 Providence Rd Ste 80And90
Virginia Beach, VA 23464-4128
Mailing address
PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119009133 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1154990711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412307",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412307",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 PROVIDENCE RD STE 80AND90",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644128",
"telephone_number": "757-467-4604",
"fax_number": "757-467-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIETEK",
"first_name": "EMMA",
"credential": "MSORT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119009133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.