Greg Neilsen, OTR/L
Individual provider Active NPI Occupational Therapist · Roosevelt, UT
NPI 1154748010 · NPPES record last updated Mar 27, 2014
Key facts
- NPI
- 1154748010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 8695051-4201 (UT)
- Practice address
- 250 W 300 N
Roosevelt, UT 84066-2336 - Phone
- (435) 722-6186
- NPI assigned
- Mar 27, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8695051-4201 | UT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8695051-4201 | UT | Yes |
Addresses
Primary practice location
250 W 300 N
Roosevelt, UT 84066-2336
Mailing address
250 W 300 N
Roosevelt, UT 84066
Phone (435) 722-6186
Other providers in Roosevelt, UT
- Holly Michelle Mickelson
- Melody A Miller
- Audra Morlan
- Lawrence Lynn Morrill
- Russell L Muir
- Travis Dee Nelson
- Adam Sanford Nielson
- Robert Nielson
- Robert A Nielson
- John D Nolte
All providers in Roosevelt, UT · Occupational Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.