James Greg Blotter, OTR

Individual provider Active NPI Occupational Therapist · Logan, UT

NPI 1154488823 · NPPES record last updated Jun 10, 2026

Key facts

NPI
1154488823
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
107090-4201 (UT)
Practice address
1300 N 500 E
Logan, UT 84341-2408
Phone
(435) 716-2880
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services Inc (3,948 clinicians)

Practice addresses (Care Compare)

1300 N 500
Logan, UT 84341-2408
Phone (435) 716-5010

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231101001598 UT Practitioner - Occupational Therapist in Private Practice 7214383991 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current
since Sep 18, 2023
Accepting new patients
Ihc Health Services, Inc. Current
since Sep 18, 2023
Accepting new patients

Locations

1300 N 500 E
Logan, UT 84341
Phone (435) 716-2880

1300 N 500 E
Ste 130
Logan, UT 84341
Phone (435) 716-2800

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

905 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4500

905 N 1000 W
#1
Tremonton, UT 84337

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 107090-4201 UT Yes

Addresses

Primary practice location

1300 N 500 E
Logan, UT 84341-2408

Mailing address

PO Box 25537
Salt Lake City, UT 84125-0537
Phone (435) 716-2880

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service Other Bluemark LLC / Office Ally

Other providers in Logan, UT

All providers in Logan, UT · Occupational Therapist in Utah

Sources for this page

Verify at the official NPI Registry.