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VIRENDER K GAUTAM OT
NPI 1205867157
Occupational Therapist - Neurorehabilitation in Greenville, SC

Active since July 06, 2006
15 EVONVALE COURT, GREENVILLE, SC 29605(509) 431-2795 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Virender K Gautam Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIRENDER K GAUTAM OT (NPI 1205867157) is an individual neurorehabilitation provider in Greenville, South Carolina, licensed in South Carolina (3389) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205867157
Entity TypeIndividualFemale
Primary Taxonomy225XN1300X
Provider Legal NameVIRENDER K GAUTAMCredential: OT
Location Address15 EVONVALE COURTGreenville, SC 29605
Mailing Address15 Evonvale CtGreenville, SC 29605-5978 · (509) 431-2795
Phone(509) 431-2795
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 30, 2012
✔ NPI 1205867157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · NeurorehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XN1300X
License✔ Licensed in SC · 3389
15 EVONVALE COURT, Greenville, SC 29605
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Other Identifiers 4

Other0192967WA · L&i
Medicare PING8861896WA
Medicaid8414856WA
Medicare UPINQ32452WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Virender Gautam's NPI number?

The NPI number for Virender Gautam is 1205867157. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Virender Gautam located?

Virender Gautam practices at 15 Evonvale Court, Greenville, SC 29605. The listed phone number is (509) 431-2795.

What is Virender Gautam's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.

When was this NPI record last updated?

The NPPES record for Virender Gautam was last updated on July 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.