Gregory Alan Harris, OTA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2025-0056 Issued in NM

Practice address

5345 Wyoming Blve NE Ste. 108
Albuquerque, NM 87109

Phone

(505) 537-9906

Fax

(505) 317-2532

NPI assigned

Apr 23, 2025

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Playground Therapies LLC

  • Occupational Therapist
  • Albuquerque, NM
  • NPI 1679155295
  NPD (past)

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1134916018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 WYOMING BLVE NE STE. 108",
            "city": "ALBUQERQUE",
            "state": "NM",
            "postal_code": "87109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 WYOMING BLVE NE STE. 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-537-9906",
            "fax_number": "505-317-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT-2025-0056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Harris
• Daniel Harris, DPM
• Debora Harris
• Evan Robert Harris, MD
• Gillian Harris
• Iva Ingrid Harris, MSW
• Jamisyn Anne Harris, PT
• Jasmine Harris
• Jason Demetrius Harris, PHARMD
• Jennifer Nicole Harris, D.O.M.

• Occupational Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.