MRS. MARY ELIZABETH NORDGULEN OTR/L, C4T
NPI 1316922552
Occupational Therapist in Eglin Afb, FL

Active since December 09, 2005
307 BOATNER ROAD, 96TH MDG, EGLIN AFB, FL 32542(850) 883-8314(334) 836-2247 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Elizabeth Nordgulen Otr/l, C4t NPPES

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

MRS. MARY ELIZABETH NORDGULEN OTR/L, C4T (NPI 1316922552) is an individual occupational therapist in Eglin Afb, Florida, licensed in Florida (OT1844) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1316922552
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. MARY ELIZABETH NORDGULENCredential: OTR/L, C4T
Location Address307 BOATNER ROAD, 96TH MDGEglin Afb, FL 32542
Mailing Address307 Boatner Road, 96th MdgEglin Afb, FL 32542 · (850) 883-8314 · Fax (334) 836-2247
Fax(334) 836-2247
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateOctober 17, 2011
NPI 1316922552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in FL · OT1844 Licensed in AL · 2098
Definition
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.
307 BOATNER ROAD, Eglin Afb, FL 32542

Other Identifiers 3

Medicaid891009320AL
Medicaid891009330AL
Medicaid891009340AL

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military Health Care Provider (Independent Duty Medical Technicians)
307 BOATNER ROAD
EGLIN AIRFORCE BASE, FL 32542
Military Health Care Provider
307 BOATNER ROAD, SUITE 114
EGLIN AFB, FL 32542
Nurse Practitioner (Family)
307 BOATNER ROAD
EGLIN AFB, FL 32542
Radiology (Diagnostic Radiology)
307 BOATNER ROAD, EGLIN AIRFORCE BASE
EGLIN AIRFORCE BASE, FL 32542
Dietitian, Registered
307 BOATNER ROAD
EGLIN AFB, FL 32542
Hospitalist
307 BOATNER ROAD
EGLIN, AFB, FL 32542

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 Mary Nordgulen's NPI number?

The NPI number for Mary Nordgulen is 1316922552. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Mary Nordgulen located?

Mary Nordgulen practices at 307 Boatner Road 96th Mdg, Eglin Afb, FL 32542. The listed phone number is (850) 883-8314.

What is Mary Nordgulen's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Mary Nordgulen was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.