Active NPI
Gayle L Novitske
- Occupational Therapist
- Norcross, GA
National Provider Identifier
1487941365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119001579
- Practice address
- 3000 Northwoods Pkwy
Suite 105
Norcross, GA 30071-4708 - Phone
- (866) 518-1750
- Fax
- (866) 231-5080
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 0119001579 | VA | Primary |
Addresses
Primary practice location
3000 Northwoods Pkwy
Suite 105
Norcross, GA 30071-4708
Mailing address
3000 Northwoods Pkwy
Suite 105
Norcross, GA 30071-4708
Phone (866) 518-1750
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119001579 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1487941365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 NORTHWOODS PKWY",
"address_2": "SUITE 105",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714708",
"telephone_number": "866-518-1750",
"fax_number": "866-231-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NORTHWOODS PKWY",
"address_2": "SUITE 105",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714708",
"telephone_number": "866-518-1750",
"fax_number": "866-231-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVITSKE",
"first_name": "GAYLE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119001579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.