GARY EDWIN ANDERSEN (NPI# 1770615577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770615577 |
| Entity Type | Individual |
| Full Name | GARY EDWIN ANDERSEN |
| Credential | OTR |
| Practice Address |
800 S Wilbur Ave Syracuse NY 13204-2732 |
| Mailing Address |
108 Meadow Ln Elbridge NY 13060-9713 |
| Practice Telephone | 3156891281 |
| Mailing Telephone | 3156891281 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0086361 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922096825 | Gary Andersen | Dentist | 3801 Main Ave, Durango, CO 81301-4075 | 2005-10-13 |
| Street Address |
800 S WILBUR AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275500621 | Donna L Acox | Dietitian, Registered | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2006-03-03 |
| 1720107022 | Abby E Canzano | Dietitian, Registered | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-28 |
| 1184741787 | Deb Mccasland | Dietitian, Registered | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-26 |
| 1770600835 | Alicja Golebiowski | General Practice | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-23 |
| 1063539195 | Dorothy Louise Blay | Registered Nurse | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-23 |
| 1124145271 | Erika A Galloway | Registered Nurse | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-23 |
| 1891810214 | Theresa T Mcintyre | Speech-Language Pathologist | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-21 |
| 1669597068 | Linda P Sheedy | Speech-Language Pathologist | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-21 |
| 1073637500 | Melinda L Maxwell | Registered Nurse | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-19 |
| 1629109517 | David Viscome | Physical Therapist | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413354 | Amanda Grome | Occupational Therapist | 113 Cody Ave, Syracuse, NY 13204-1831 | 2020-09-29 |
| 1770058661 | Nora A Conneely | Occupational Therapist | 750 E Adams St # 2104, Syracuse, NY 13210-2306 | 2018-10-08 |
| 1821505249 | Timothy Robert Sheridan | Occupational Therapist | 4946 Camelot Dr, Syracuse, NY 13215-2408 | 2018-01-08 |
| 1720598436 | Kristina Khurshudian | Occupational Therapist | 2410 W Genesee St Apt B14, Syracuse, NY 13219-1560 | 2017-10-08 |
| 1730621509 | Hannah Elizabeth Northrop | Occupational Therapist | 1005 W Fayette St, 4th Floor, Syracuse, NY 13204-2860 | 2016-11-10 |
| 1174077531 | Savannah Fuller | Occupational Therapist | 545 Cedar St, Syracuse, NY 13210-2370 | 2016-08-15 |
| 1124470679 | David R Connors | Occupational Therapist | 110 Elwood Davis Rd, Syracuse, NY 13212-4331 | 2016-07-08 |
| 1962871509 | Michelle Carpenter | Occupational Therapist | 201 Westfall Dr, Syracuse, NY 13219-1313 | 2015-09-24 |
| 1548639693 | Kenzi Steele | Occupational Therapist | 550 7th Street, Syracuse, NE 68446 | 2015-09-18 |
| 1366837791 | Hannah Worthley | Occupational Therapist | 208 Van Rensselaer St, Apt 3, Syracuse, NY 13204-2216 | 2015-04-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.