Active NPI
Gretchen Crosbie Reeks, OTR
- Occupational Therapist
- Longview, TX
National Provider Identifier
1497849996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109261
- Practice address
- 3206 N. Fourth Street
Core
Longview, TX 75605 - Phone
- (903) 753-6635
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 109261 | TX | Primary |
| Occupational Therapist | 225X00000X | Z10304 | LA |
Addresses
Primary practice location
3206 N. Fourth Street
Core
Longview, TX 75605
Mailing address
7722 Chesapeake Drive
Shreveport, LA 71105
Phone (318) 797-4140
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
| License | State | Type | Specialty |
|---|---|---|---|
| Z10304 | LA | MD | Occupational Therapist |
| 109261 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497849996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7722 CHESAPEAKE DRIVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71105",
"telephone_number": "318-797-4140",
"fax_number": "318-797-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3206 N. FOURTH STREET",
"address_2": "CORE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75605",
"telephone_number": "903-753-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEKS",
"first_name": "GRETCHEN",
"middle_name": "CROSBIE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109261",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "Z10304",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
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.