GREGORY JOSEPH PAWLIK


Address: 415 4th St N, Fargo, ND 58102-4514
Phone: 7014461014

GREGORY JOSEPH PAWLIK (NPI# 1851806764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851806764
Entity Type Individual
Full Name GREGORY JOSEPH PAWLIK
Practice Address 415 4th St N
Fargo
ND 58102-4514
Practice Telephone 7014461014
Practice Fax Number 7014461200
Mailing Telephone 7014461014
Mailing Fax Number 7014461200
Enumeration Date 2017-12-14
Last Update Date 2017-12-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 2242ZOOOOOX 05

Office Location

Street Address 415 4TH ST N
City FARGO
State ND
Zip Code 58102-4514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477570497 Fargo Public Schools Speech-Language Pathologist 415 4th St N, Fargo, ND 58102-4514 2006-07-16
1154832269 Teresa Ann Carbone Occupational Therapy Assistant 415 4th St N, Fargo, ND 58102-4514 2017-10-16
1669981502 Eileen Bachmeier Occupational Therapy Assistant 415 4th St N, Fargo, ND 58102-4514 2017-09-22
1881116945 Hilary Jean Zinke Speech-Language Pathologist 415 4th St N, Fargo Public Schools, Fargo, ND 58102 2017-07-11
1659814184 Marina Culver Speech-Language Pathologist 415 4th St N, Fargo, ND 58102-4514 2016-12-01
1942751037 Katelyn Eidenschink Speech-Language Pathologist 415 4th St N, Fargo, ND 58102-4514 2016-10-24
1073985966 Stacey Pfaff Speech-Language Pathologist 415 4th St N, Fargo, ND 58102-4514 2015-10-30
1184026718 Megan Long Occupational Therapist 415 4th St N, Fargo, ND 58102-4514 2014-09-26
1952735060 Andrea Holloway Occupational Therapist 415 4th St N, Fargo, ND 58102-4514 2013-08-26
1689948663 Becky Ann Benson Speech-Language Pathologist 415 4th St N, Fargo, ND 58102-4514 2012-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780285924 Shelley Dene Townsend-hansen Dentist 1017 Broadway N, Fargo, ND 58102 2020-11-04
1275190779 Anthony Joseph Duncan Student in an Organized Health Care Education/Training Program 1919 Elm Streent North, Fargo, ND 58102 2019-05-21
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1376063370 Abby Nicole Fredrickson Student in an Organized Health Care Education/Training Program 1919 Elm Street North, Fargo, ND 58102 2017-06-21
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1104215623 Justin Lervik Social Worker 211 Elm St. N, 122, Fargo, ND 58102 2015-01-21
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1821431206 Lanell Staroba Pharmacist 706 D 38th St, Fargo, ND 58102 2013-04-16
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891274890 Nicholas David Schulz Occupational Therapy Assistant 3256 18th St S Apt 207, Fargo, ND 58104-6578 2018-08-09
1255734422 Leann Marie Montgomery Occupational Therapy Assistant 1721 27th Ave S, Fargo, ND 58103-5504 2014-10-02
1487099073 Alyssa Bakken Occupational Therapy Assistant 2801 9th St N, Fargo, ND 58102-1350 2013-05-08
1932417938 Lauren Erica Foss Occupational Therapy Assistant 911 19th Ave S, Fargo, ND 58103-4928 2010-09-24
1114565207 Kayla Dease Occupational Therapy Assistant 3401 45th St S, Fargo, ND 58104-8970 2019-12-19
1366083404 Amanda Watne Occupational Therapy Assistant 415 4th St. N. Fargo Public Schools, Fargo, ND 58102 2019-09-30
1053969881 Jamie Hansen Occupational Therapy Assistant 3401 45th St S Ste A, Fargo, ND 58104-8970 2019-08-26
1962056838 Jennifer Parsons Occupational Therapy Assistant 3060 Frontier Way S, Fargo, ND 58104-8909 2019-07-30
1366947822 Alexandria Beth Haas Occupational Therapy Assistant 3060 Frontier Way S, Fargo, ND 58104-8909 2018-03-27
1740797471 Brooke Tayer Occupational Therapy Assistant 1305 9th Ave S, Fargo, ND 58103 2018-01-03
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City FARGO
Zip Code 58102

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Dataset Information

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.

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