Active NPI
Michael Jay Gawler, COTA
- Occupational Therapy Assistant
- La Jolla, CA
National Provider Identifier
1639944796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2702
- Practice address
- 2552 Torrey Pines Rd
La Jolla, CA 92037-3432 - Phone
- (858) 453-5810
- NPI assigned
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 2702 | CA | Primary |
Addresses
Primary practice location
2552 Torrey Pines Rd
La Jolla, CA 92037-3432
Mailing address
835 Catherine Ave
San Marcos, CA 92069-2019
Phone (732) 604-5794
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 |
|---|---|---|---|
| 2702 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1639944796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 CATHERINE AVE",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692019",
"telephone_number": "732-604-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2552 TORREY PINES RD",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920373432",
"telephone_number": "858-453-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWLER",
"first_name": "MICHAEL",
"middle_name": "JAY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "2702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.