Individual provider Active NPI

Julie Park Gehrke, OTR

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1164414082
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
64 Issued in NC
Practice address
7000 Shannon Willow Rd
Charlotte, NC 28226-1318
Phone
(704) 927-7300
Fax
(704) 927-7301
NPI assigned
Aug 17, 2005
Last updated
Sep 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 64 NC Primary

Addresses

Primary practice location

7000 Shannon Willow Rd
Charlotte, NC 28226-1318

Mailing address

7000 Shannon Willow Rd
Charlotte, NC 28226-1318
Phone (704) 927-7300

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
64NCMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Sleep Medicine Associates PA Past Accepting new patients
The Neurological Institute PA PastSince Mar 23, 1996 Accepting new patients
Head Injury Center of Charlotte, Inc. PastSince Apr 27, 2018 Accepting new patients

Organizations & group practices 3

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1164414082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SHANNON WILLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261318",
            "telephone_number": "704-927-7300",
            "fax_number": "704-927-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SHANNON WILLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261318",
            "telephone_number": "704-927-7300",
            "fax_number": "704-927-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRKE",
        "first_name": "JULIE",
        "middle_name": "PARK",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "64",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 29, 2009; 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.