Gracyn London Gilleland, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

14292 Issued in NC

Practice address

9750 Autumn Cir
Davidson, NC 28036-9525

Phone

(704) 918-3316

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1326711029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 AUTUMN CIR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369525",
            "telephone_number": "704-918-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 AUTUMN CIR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369525",
            "telephone_number": "704-918-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLELAND",
        "first_name": "GRACYN",
        "middle_name": "LONDON",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "14292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Renae Geers, MSW, LCSW
• Thomas E. Gettelman, PH.D.
• Michael Giannangeli
• Paul Robert Gibbs, DDS MS PA
• Dalyndra Gilcreast, LCMHC-A
• Brenda Faye Goodman, FNP
• Great Expectations Counseling Services
• Green Couch Counseling PLLC
• Garrett Greenan, MD
• Akilah Grimes, MD

• Occupational Therapy Assistant in Davidson, NC
• Providers in Davidson, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.