Ren Montgomery Gilleo, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

9011 Sierra Palms Way
Henderson, NV 89074-6969

Phone

(702) 227-4477

NPI assigned

Apr 5, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Karen Siran-Loughery Otr/L Inc.

  • Occupational Therapist
  • Henderson, NV
  • NPI 1356435044
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1013596261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 SIERRA PALMS WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 SIERRA PALMS WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746969",
            "telephone_number": "702-227-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEO",
        "first_name": "REN",
        "middle_name": "MONTGOMERY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charne Gill
• Shannon M. Gilland
• Cary Joe Gillaspie, R.PH.
• Shanise Gillem
• Mitzi Gillen
• Joanie Leigh Gillespie, CNS
• James Gilliam
• Khadeejah Zakiyyah Gilliam
• Carrie Gillis, DPT
• Jennifer Gilman

• Occupational Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.