Individual provider Active NPI

Laura Lynne Gawecki, OTRL

  • Occupational Therapist
  • Monroe, MI
National Provider Identifier
1871292938
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013280 Issued in MI
Practice address
700 Stewart Rd
Monroe, MI 48162-5304
Phone
(734) 240-1798
Fax
(734) 240-1896
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201013280 MI Primary

Addresses

Primary practice location

700 Stewart Rd
Monroe, MI 48162-5304

Mailing address

700 Stewart Rd
Monroe, MI 48162-5304
Phone (734) 240-1798

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

LicenseStateTypeSpecialty
5201013280MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1871292938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625304",
            "telephone_number": "734-240-1798",
            "fax_number": "734-240-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625304",
            "telephone_number": "734-240-1798",
            "fax_number": "734-240-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWECKI",
        "first_name": "LAURA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.