Gwendolyn Olicker, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7891 Issued in CA

Practice address

209 S Rose St
Burbank, CA 91505-4024

Phone

(970) 310-3820

Fax

(818) 841-1374

NPI assigned

Mar 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299888000000",
    "number": "1972801116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S ROSE ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054024",
            "telephone_number": "970-310-3820",
            "fax_number": "818-841-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S ROSE ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054024",
            "telephone_number": "970-310-3820",
            "fax_number": "818-841-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLICKER",
        "first_name": "GWENDOLYN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-12",
        "last_updated": "2011-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "7891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Oh
• Meray Ohanessian, M.D.
• Anahid Lily Ohanian
• Geoffrey Toshio Okada, D.D.S., M.S.
• Helen Okoh, M.D
• Abigail Rosana Olivares
• Mark Vincent Olivarez, MSN FNP
• Risa Quinto Olivarez, RN
• Olive Avenue Medical Pharmacy Inc
• Olive Crest Treatment Ctr.

• Occupational Therapist in Burbank, CA
• Providers in Burbank, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2011; 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.