Gwendolyn G Garrett, MAOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119001200 Issued in VA

Practice address

525 Oyster Point Rd
Suite E
Newport News, VA 23602-6014

Phone

(757) 269-0430

Fax

(757) 269-0432

NPI assigned

Oct 10, 2006

Last updated

Sep 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aquatic Therapy of Virginia, PLC

  • Occupational Therapist
  • Newport News, VA
  • NPI 1477636686
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1255429122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 PILOT HOUSE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061990",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OYSTER POINT RD",
            "address_2": "SUITE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026014",
            "telephone_number": "757-269-0430",
            "fax_number": "757-269-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "GWENDOLYN",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MAOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119001200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255429122",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7150820",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS (OCCUPATIONAL THERAPY)",
            "identifier": "1154551935",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00733181",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Jean Garn, LPTA
• Wallace Kirby Garner, MD
• Charlotte E Garnes, LPC
• Haralambos Bobby Garofalis, DDS
• Elena Cuticelli Garrett, MD
• Mavis W Garrett, AU.D.,
• Veda Demetris Garrett, RRT
• Jason T Garrison, MD
• Kathryn Gary
• Jacqueline Victoria Gaston

• Occupational Therapist in Newport News, VA
• Providers in Newport News, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.