Active NPI
Gonul Gul Nazari, OTR/L
- Occupational Therapist
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005543
- Practice address
- 1301 Cedar Rd
Chesapeake, VA 23322-7105 - Phone
- (757) 512-7626
- NPI assigned
- Jan 29, 2011
- Last updated
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60201986 | WA | |
| Occupational Therapist | 225X00000X | 46TR00562000 | NJ | |
| Occupational Therapist | 225X00000X | 10172 | NC | |
| Occupational Therapist | 225X00000X | 0119005543 | VA | Primary |
Addresses
Primary practice location
1301 Cedar Rd
Chesapeake, VA 23322-7105
Mailing address
1301 Cedar Rd
Chesapeake, VA 23322-7105
Phone (757) 512-7626
Other practice location 1
225 White St
Jacksonville, NC 28546-6351
Phone (910) 353-7222
Other practice location 2
6106 Health Center Ln
Fredericksburg, VA 22407-6687
Phone (540) 785-1103
Other practice location 3
812 Shepard St
Morehead City, NC 28557-4250
Phone (252) 726-6855
Other practice location 4
516 23rd Ave SE
Puyallup, WA 98372-4659
Phone (253) 845-6631
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 |
|---|---|---|---|
| 10172 | NC | MD | Physical Therapist |
| 46TR00562000 | NJ | MD | Occupational Therapist |
| 0119005543 | VA | MD | Occupational Therapist |
| OT60201986 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Sept, LLC | Occupational Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
1301 Cedar Rd
Chesapeake, VA 23322
Phone (757) 512-7626
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Verona, VA
- NPI 1235955709
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1912203548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CEDAR RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233227105",
"telephone_number": "757-512-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 CEDAR RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233227105",
"telephone_number": "757-512-7626"
}
],
"practiceLocations": [
{
"address_1": "225 White St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466351",
"country_code": "US",
"telephone_number": "910-353-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6106 Health Center Ln",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224076687",
"country_code": "US",
"telephone_number": "540-785-1103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "812 Shepard St",
"address_purpose": "LOCATION",
"city": "Morehead City",
"state": "NC",
"postal_code": "285574250",
"country_code": "US",
"telephone_number": "252-726-6855",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "516 23rd Ave SE",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983724659",
"country_code": "US",
"telephone_number": "253-845-6631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZARI",
"first_name": "GONUL",
"middle_name": "GUL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-29",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60201986",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00562000",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "10172",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.