Active NPI
Gregory Dellino, OTR/L
- Occupational Therapist
- Cheney, WA
National Provider Identifier
1144901307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 61137073
- Practice address
- 9008 W Caelen Ave
Cheney, WA 99004-5298 - Phone
- (425) 737-3762
- NPI assigned
- Jul 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 61137073 | WA | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 61137073 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9008 W Caelen Ave
Cheney, WA 99004-5298
Mailing address
9008 W Caelen Ave
Cheney, WA 99004-5298
Phone (425) 737-3762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2023.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1144901307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9008 W CAELEN AVE",
"city": "CHENEY",
"state": "WA",
"postal_code": "990045298",
"telephone_number": "425-737-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9008 W CAELEN AVE",
"city": "CHENEY",
"state": "WA",
"postal_code": "990045298",
"telephone_number": "425-737-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLINO",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "WA",
"license": "61137073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheney, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.