Active NPI
Tessa Jean Gacovsky, MOT, OTR/L
- Occupational Therapist
- Carrboro, NC
National Provider Identifier
1962086256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13980
- Practice address
- 110 Two Hills Dr
Carrboro, NC 27510-2675 - Phone
- (984) 849-3597
- NPI assigned
- May 12, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | 13980 | NC | Primary |
Addresses
Primary practice location
110 Two Hills Dr
Carrboro, NC 27510-2675
Mailing address
110 Two Hills Dr
Carrboro, NC 27510-2675
Phone (984) 849-3597
Other practice location 1
856 Sweeten Creek Rd Ste F
Asheville, NC 28803-1548
Phone (828) 684-7339
Other practice location 2
1430 Asheville Hwy
Hendersonville, NC 28791-2302
Phone (828) 513-5110
Other practice location 3
110 Two Hills Dr
Carrboro, NC 27510-2675
Phone (984) 849-3597
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 |
|---|---|---|---|
| 13980 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerge-a Child'S Place, PLLC | Occupational Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Durham, NC
- NPI 1730229188
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1962086256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 TWO HILLS DR",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275102675",
"telephone_number": "984-849-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 TWO HILLS DR",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275102675",
"telephone_number": "984-849-3597"
}
],
"practiceLocations": [
{
"address_1": "856 Sweeten Creek Rd Ste F",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288031548",
"country_code": "US",
"telephone_number": "828-684-7339",
"fax_number": "828-684-7339",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1430 Asheville Hwy",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "287912302",
"country_code": "US",
"telephone_number": "828-513-5110",
"fax_number": "828-513-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Two Hills Dr",
"address_purpose": "LOCATION",
"city": "Carrboro",
"state": "NC",
"postal_code": "275102675",
"country_code": "US",
"telephone_number": "984-849-3597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GACOVSKY",
"first_name": "TESSA",
"middle_name": "JEAN",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "13980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.