Active NPI
Joseph H Gwiazda, OTR/L
- Physical Rehabilitation Occupational Therapist
- Bel Air, MD
National Provider Identifier
1952318677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OC010946
- Practice address
- 324 Honey Locust Court
Bel Air, MD 21015 - Phone
- (443) 562-9573
- NPI assigned
- Aug 2, 2006
- Last updated
- Oct 3, 2013
- Sex
- Male
- 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 | 04589 | MD | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OC010946 | PA | Primary |
Addresses
Primary practice location
324 Honey Locust Court
Bel Air, MD 21015
Mailing address
324 Honey Locust Court
Bel Air, MD 21015
Phone (443) 562-9573
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002516549 | Other | PA | HIGHMARK BLUE SHIELD |
| 615465500 | Other | PA | US DEPT OF LABOR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC010946 | PA | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York TMS Clinic, LLC | Current | Accepting new patients |
Locations
1493 S Queen St
York, PA 17403
Phone (717) 430-0434
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- York, PA
- NPI 1972374973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1952318677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 HONEY LOCUST COURT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21015",
"telephone_number": "443-562-9573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 HONEY LOCUST COURT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21015",
"telephone_number": "443-562-9573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWIAZDA",
"first_name": "JOSEPH",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "04589",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "PA",
"license": "OC010946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "002516549",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "615465500",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.