Active NPI
David Michael Gulash, OTR/L
- Occupational Therapist
- Manchester, CT
National Provider Identifier
1861086605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005997
- Practice address
- 42 Prospect St
Manchester, CT 06040-5802 - Phone
- (860) 645-1255
- NPI assigned
- Feb 23, 2021
- Sex
- Male
- 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 | 005997 | CT | Primary |
Addresses
Primary practice location
42 Prospect St
Manchester, CT 06040-5802
Mailing address
60 Hicksville Rd
Cromwell, CT 06416-2409
Phone (860) 635-6010
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 |
|---|---|---|---|
| 005997 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1861086605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HICKSVILLE RD",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162409",
"telephone_number": "860-635-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 PROSPECT ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060405802",
"telephone_number": "860-645-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULASH",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-23",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "005997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.