Victor Henry Gajewski, OTR/L CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT00004040 Issued in WA

Practice address

3726 Broadway,
Suite 201
Everett, WA 98201

Phone

(425) 317-9119

Fax

(425) 317-9118

NPI assigned

Jul 1, 2006

Last updated

Apr 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Washington Medical Group Inc PSGroup PAC ID 7517870314, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Western Washington Medical Group, Inc PS

  dba WWMG Department of Psychiatry

  • Psychiatry Physician
  • Everett, WA
  • NPI 1396413803
  Medicare reassignment Care Compare group NPD
• Western Washington Medical Group, Inc PS

  dba Western Wa Medical Group Dept of Orthopedics

  • Orthopaedic Surgery Physician
  • Everett, WA
  • NPI 1376761775
  NPD
• Western Washington Medical Group, Inc PS

  dba Western Washington Medical Group Dept of Infectious Disease

  • Infectious Disease Physician
  • Everett, WA
  • NPI 1427816305
  NPD
• Western Washington Medical Group, Inc PS

  • Gastroenterology Physician
  • Everett, WA
  • NPI 1023065919
  NPD (past)
• Campus Commons Physical Therapy, Inc.

  • Physical Therapist
  • Sacramento, CA
  • NPI 1992787477

  Occupational Therapist

  NPD (past)
• Premier Rehabilitation, Inc

  dba Premier Physical Therapy

  • Specialist
  • Dublin, CA
  • NPI 1790772531
  NPD (past)
• Premier Rehabilitation, Inc.

  dba Premier Physical Therapy

  • Specialist
  • Dublin, CA
  • NPI 1285621029
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1164451225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 BROADWAY,",
            "address_2": "SUITE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-317-9119",
            "fax_number": "425-317-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 BROADWAY,",
            "address_2": "SUITE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-317-9119",
            "fax_number": "425-317-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJEWSKI",
        "first_name": "VICTOR",
        "middle_name": "HENRY",
        "credential": "OTR/L CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": "OT00004040",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00004040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8348286",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Gaffney, BSN,RN
• Mary Lou Gage, MA, LMHC, CDPT
• Sara-Jo Gahm, MD
• Jennifer Elizabeth Taylor Gaines, CNM, ARNP
• Anna Elizabeth Gainey, LMHCA
• Shaila Gala, MD
• Giselle Melany Galax
• Ca'Purnika Anntwanette Galbert, BA, MHT
• Kirsten Nicole Galde
• Galen Inpatient Physicians PC

• Hand Occupational Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Hand Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.