Active NPI
Helen J Gormley-Guttu
- Occupational Therapist
- Mount Vernon, WA
National Provider Identifier
1912167354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056000835
- Practice address
- 16177 Mountain View Rd
Mount Vernon, WA 98274-7004 - Phone
- (360) 941-0164
- NPI assigned
- Jun 10, 2008
- Last updated
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00001867 | WA | |
| Occupational Therapist | 225X00000X | 056000835 | IL | Primary |
Addresses
Primary practice location
16177 Mountain View Rd
Mount Vernon, WA 98274-7004
Mailing address
16177 Mountain View Rd
Mount Vernon, WA 98274-7004
Phone (360) 941-0164
Other names 1
- Ms. Holly Gormley-Guttu
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 |
|---|---|---|---|
| 056000835 | IL | MD | Occupational Therapist |
| OT00001867 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1912167354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16177 MOUNTAIN VIEW RD",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982747004",
"telephone_number": "360-941-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16177 MOUNTAIN VIEW RD",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982747004",
"telephone_number": "360-941-0164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMLEY-GUTTU",
"first_name": "HELEN",
"middle_name": "J",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00001867",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056000835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "GORMLEY-GUTTU",
"prefix": "MS.",
"credential": "MED., OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.