Active NPI
Gwen McCreery, OTR/L
- Occupational Therapist
- La Plata, MD
National Provider Identifier
1063993202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 5980 Radio Station Rd
La Plata, MD 20646-3337 - Phone
- (301) 932-6610
- NPI assigned
- Aug 26, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
5980 Radio Station Rd
La Plata, MD 20646-3337
Mailing address
9295 Windsor Dr
La Plata, MD 20646-2848
Other practice location 1
10200 Laplata Rd
LA Plata, MD 20646-3245
Phone (301) 934-1900
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535241600000",
"number": "1063993202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9295 WINDSOR DR",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206462848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 RADIO STATION RD",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206463337",
"telephone_number": "301-932-6610"
}
],
"practiceLocations": [
{
"address_1": "10200 Laplata Rd",
"address_purpose": "LOCATION",
"city": "LA Plata",
"state": "MD",
"postal_code": "206463245",
"country_code": "US",
"telephone_number": "301-934-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCREERY",
"first_name": "GWEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-26",
"last_updated": "2018-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.