Sherry R Gebczyk, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

011432-1 Issued in NY

Practice address

8842 Route 90
Mandel Therapy Group
King Ferry, NY 13081

Phone

(315) 364-7570

Fax

(315) 364-8016

NPI assigned

Jul 2, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669679791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOBART AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130215308",
            "telephone_number": "315-567-9799",
            "fax_number": "315-364-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8842 ROUTE 90",
            "address_2": "MANDEL THERAPY GROUP",
            "city": "KING FERRY",
            "state": "NY",
            "postal_code": "13081",
            "telephone_number": "315-364-7570",
            "fax_number": "315-364-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBCZYK",
        "first_name": "SHERRY",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011432-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dixon, MS EDUCATION
• Mallory E Donigan, MS, SLP
• Kerin Elisens Duff, MS, CCC-SLP
• Karla Eshelman, CCC-SLP
• Elizabeth H Foster, PTA
• Gentry Nurse Practitioner in Family Health
• Robert Maurice Godbout, MHC
• Angela Grant-Cerasaro, MS, CCC, SLP
• Libby Danielle Kershner, OTR
• Thomas J Laclair, OTR

• Occupational Therapist in King Ferry, NY
• Providers in King Ferry, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.