Individual provider Active NPI

Gregory Thomas Szydlowski, OTR

  • Occupational Therapist
  • Chehalis, WA
National Provider Identifier
1891954079
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00004462 Issued in WA
Practice address
1817 S Market Blvd Ste C
Chehalis, WA 98532-4100
Phone
(360) 996-4410
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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 00004462 WA Primary

Addresses

Primary practice location

1817 S Market Blvd Ste C
Chehalis, WA 98532-4100

Mailing address

1817 S Market Blvd Ste C
Chehalis, WA 98532-4100
Phone (360) 996-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103001789 WA Practitioner - Occupational Therapist in Private Practice 3870874944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centralia Physical Therapy Inc PSGroup PAC ID 0648429688, 20 clinicians

Practice addresses (Care Compare)

1817 S Market Blvd
Suite C
Chehalis, WA 98532-4100
Phone (360) 996-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00004462WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Occupational Therapist CurrentSince Sep 1, 2019 Accepting new patients
Integrated Rehabilitation Group, PC CurrentSince Sep 1, 2019 Accepting new patients
Centralia Physical Therapy Inc PS CurrentSince Dec 10, 2020 Accepting new patients
Aeroflow Connect LLC PastSince Dec 10, 2020 Accepting new patients

Locations

1118 View Ave
Centralia, WA 98531
Phone (360) 736-5273

1817 S Market Blvd
Ste C
Chehalis, WA 98532
Phone (360) 996-4410

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

300 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 352-7352

111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1891954079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 S MARKET BLVD STE C",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324100",
            "telephone_number": "360-996-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 S MARKET BLVD STE C",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324100",
            "telephone_number": "360-996-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYDLOWSKI",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "00004462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.