Active NPI
Gregory Preston, O.T.R/L
- Contractor
- Madisonville, TN
National Provider Identifier
1013167147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- OT0000002673
- Practice address
- 520 Cook St
Suite D
Madisonville, TN 37354-1508 - Phone
- (423) 442-1440
- Fax
- (423) 442-1441
- NPI assigned
- Sep 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OT0000002673 | TN | Primary |
Addresses
Primary practice location
520 Cook St
Suite D
Madisonville, TN 37354-1508
Mailing address
520 Cook St
Suite D
Madisonville, TN 37354-1508
Phone (423) 442-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2673 | TN | MD | Chiropractor |
| OT0000002673 | TN | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Long | Past | Accepting new patients | |
| Prisma Health - Blount Memorial Hospital Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Madisonville, TN
- NPI 1972686194
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1013167147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 COOK ST",
"address_2": "SUITE D",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373541508",
"telephone_number": "423-442-1440",
"fax_number": "423-442-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 COOK ST",
"address_2": "SUITE D",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373541508",
"telephone_number": "423-442-1440",
"fax_number": "423-442-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "O.T.R/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TN",
"license": "OT0000002673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.