VICTOR HENRY GAJEWSKI (OTR/L CHT) – Hand Occupational Therapist, NPI 1164451225
Hand Occupational Therapist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
460 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WA
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Provider Addresses for VICTOR HENRY GAJEWSKI (OTR/L CHT)
3726, Broadway, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
SUITE 201
EVERETT, WA 98201
Phone: (425) 317-9119
Fax: (425) 317-9118
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070403000437 | I | Occupational Therapist In Private Practice | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 252 | 25 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 238 | 25 | $0 |
| 97168 | Re-evaluation for occupational therapy, typically 30 minutes | 29 | 17 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 21 | 19 | $0 |
Insurance plans in this area (ZIP 98201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | WA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 84 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | UT |
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