Active NPI
Walter Eugene Gotovich Jr., OTR/L
- Mental Health Occupational Therapist
- Plymouth, MA
National Provider Identifier
1942543939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- 2327
- Practice address
- 74 Henry Dr
Plymouth, MA 02360-1582 - Phone
- (508) 224-4922
- NPI assigned
- Mar 28, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2327 | MA | |
| Mental Health Occupational Therapist | 225XM0800X | 2327 | MA | Primary |
Addresses
Primary practice location
74 Henry Dr
Plymouth, MA 02360-1582
Mailing address
74 Henry Dr
Plymouth, MA 02360-1582
Phone (508) 224-4922
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 |
|---|---|---|---|
| 2327 | MA | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1942543939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 HENRY DR",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023601582",
"telephone_number": "508-224-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 HENRY DR",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023601582",
"telephone_number": "508-224-4922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTOVICH",
"first_name": "WALTER",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-28",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "2327",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "MA",
"license": "2327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.