Elizabeth Gendernalik, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010780 Issued in MI

Practice address

1027 Healthcare Dr
Charlotte, MI 48813-1056

Phone

(517) 541-5001

NPI assigned

Dec 15, 2019

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": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1700424397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 S 120TH AVE",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494559774",
            "telephone_number": "989-745-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 HEALTHCARE DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131056",
            "telephone_number": "517-541-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDERNALIK",
        "first_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Fradette, M.P.T.
• Kimberly R Friar, MD
• Kristen Nicole Friedland, PHARMD, MBA
• Patrick Laurence Gadola, DDS
• Taylor Galbraith, PHARMD
• Lynda L Goeman, OD
• Great Lakes Family Dental Group-Charlotte, P.C.
• Gregory H Colbert DPM
• Erin M Griffith, NP-C
• Michelle Kay Guilford, MA, CCC-SLP

• Occupational Therapist in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.