Stormi Shilo Gremminger, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

253021 Issued in OR

Practice address

900 NE 27TH St
Bend, OR 97701-9548

Phone

(541) 382-0479

NPI assigned

Oct 10, 2016

Sex

Female

Sole proprietor

Yes

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1447700877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 PUALEI CIR APT 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154901",
            "telephone_number": "808-282-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE 27TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019548",
            "telephone_number": "541-382-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMMINGER",
        "first_name": "STORMI",
        "middle_name": "SHILO",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "253021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scout Fallon Gregerson, PA-C
• Sean Patrick Gregg, D.C.
• Lora Beth Gregory
• Karsyn Greinier
• Alyssa L Gremban, OTD, OTR/L
• Nicole Gricius, LPC
• Benjamin Todd Grieb, DMD
• Sherrie Grieef
• Craigan Todd Griffin, M.D.
• Emden Rose Griffin, L.AC., LMT

• Occupational Therapy Assistant in Bend, OR
• Providers in Bend, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.