Individual provider Active NPI

Regina Rose Gegner, OTD, OTR/L, CEES

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1639914112
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007873A Issued in IN
Practice address
4139 Viva LN
Indianapolis, IN 46239-1913
Phone
(330) 957-0300
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Occupational Therapist 225XE1200X IN
Physical Rehabilitation Occupational Therapist 225XP0019X IN
Occupational Therapist 225X00000X 31007873A IN Primary

Addresses

Primary practice location

4139 Viva LN
Indianapolis, IN 46239-1913

Mailing address

4139 Viva Lane
Indianapolis, IN 46239

Other names 1

  • Dr. Regina Rose Reilly Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1639914112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 VIVA LANE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 VIVA LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462391913",
            "telephone_number": "330-957-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGNER",
        "first_name": "REGINA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L, CEES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007873A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "REILLY",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "OTD, OTR/L, CEES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.