Individual provider Active NPI

Tessa Jean Gacovsky, MOT, OTR/L

  • Occupational Therapist
  • Carrboro, NC
National Provider Identifier
1962086256
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13980 Issued in NC
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

Updated by the provider on Jul 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
13980NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge-a Child'S Place, PLLC Occupational Therapist PastSince Aug 4, 2024 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.

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.

Verify at the official NPI Registry.