Individual provider Active NPI

Pravin Xavier Gnanasekhar, OTR/L

  • Occupational Therapist
  • Dayton, OH
National Provider Identifier
1215334990
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006920 Issued in OH
Practice address
140 E Woodbury Dr
Dayton, OH 45415-2841
Phone
(937) 938-1523
Fax
(937) 938-6877
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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 OT006920 OH Primary

Addresses

Primary practice location

140 E Woodbury Dr
Dayton, OH 45415-2841

Mailing address

865 Saint Simons LN
Centerville, OH 45458-2876
Phone (937) 304-4244

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
OT006920OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1215334990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 SAINT SIMONS LN",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582876",
            "telephone_number": "937-304-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E WOODBURY DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152841",
            "telephone_number": "937-938-1523",
            "fax_number": "937-938-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNANASEKHAR",
        "first_name": "PRAVIN",
        "middle_name": "XAVIER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT006920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.