Individual provider Active NPI

Sheila Gregory, OTR/L

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1174875397
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R2788 Issued in KY
Practice address
3606 Windward Way
Louisville, KY 40220-1818
Phone
(502) 777-5214
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31005403A IN
Occupational Therapist 225X00000X R2788 KY Primary

Addresses

Primary practice location

3606 Windward Way
Louisville, KY 40220-1818

Mailing address

3606 Windward Way
Louisville, KY 40220-1818
Phone (502) 777-5214

Other practice location 1

2105 Hamburg Pike
Jeffersonville, IN 47130-6317
Phone (812) 577-8542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190404002261 KY Practitioner - Occupational Therapist in Private Practice 1254607039 Reassigns benefits to 1 organization
I20190830001668 IN Practitioner - Occupational Therapist in Private Practice 1254607039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, shared by 24 NPIs, 976 clinicians

Practice addresses (Care Compare)

343 E 90TH Dr
Merrillville, IN 46410-8152
Phone (219) 207-6100

4600 Bowling Blvd
Louisville, KY 40207-5155
Phone (502) 200-9264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31005403AINMDOccupational Therapist
R2788KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Feb 17, 2019 Accepting new patients
Creative Health Care Management LLC Occupational Therapist CurrentSince Oct 1, 2022 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Feb 5, 2019 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Feb 5, 2019 Accepting new patients
Creative Health Care Management LLC Occupational Therapist CurrentSince Oct 1, 2022 Accepting new patients
Low Vision Rehab Solutions, LLC Occupational Therapist PastSince Oct 1, 2021 Accepting new patients

Locations

11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

3630 Hickory Rd
Mishawaka, IN 46545
Phone (574) 252-7225

2500 W Kilgore Ave
Muncie, IN 47304
Phone (765) 201-7878

10 S 9th St
Ste 4
Noblesville, IN 46060

536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1174875397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 WINDWARD WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201818",
            "telephone_number": "502-777-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 WINDWARD WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201818",
            "telephone_number": "502-777-5214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Hamburg Pike",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306317",
            "country_code": "US",
            "telephone_number": "812-577-8542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "SHEILA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005403A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.