Individual provider Active NPI

Gregg Alan Frank, OTRL

  • Occupational Therapist
  • Succasunna, NJ
National Provider Identifier
1154530954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
TR001815 Issued in NJ
Practice address
66 Sunset Strip
Succasunna, NJ 07876-1345
Phone
(973) 252-9292
Fax
(973) 252-9377
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X TR001815 NJ Primary

Addresses

Primary practice location

66 Sunset Strip
Succasunna, NJ 07876-1345

Mailing address

5 Tanglewood CT
Randolph, NJ 07869-4306
Phone (973) 252-9292

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

State licenses

LicenseStateTypeSpecialty
TR001815NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154530954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TANGLEWOOD CT",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694306",
            "telephone_number": "973-252-9292",
            "fax_number": "973-252-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761345",
            "telephone_number": "973-252-9292",
            "fax_number": "973-252-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "GREGG",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "TR001815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.