Active NPI
Gregory D Wood, OTR
- Occupational Therapist
- Connersville, IN
National Provider Identifier
1720137367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1941 Virginia Ave
Connersville, IN 47331-2833 - Phone
- (756) 827-7964
- Fax
- (765) 827-6430
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1941 Virginia Ave
Connersville, IN 47331-2833
Mailing address
901 National Rd
Cambridge City, IN 47327-9775
Phone (765) 541-8307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006358000 | Other | UT | MEDICARE GROUP PIN |
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": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1720137367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 NATIONAL RD",
"city": "CAMBRIDGE CITY",
"state": "IN",
"postal_code": "473279775",
"telephone_number": "765-541-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 VIRGINIA AVE",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473312833",
"telephone_number": "756-827-7964",
"fax_number": "765-827-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "GREGORY",
"middle_name": "D",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "006358000",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Connersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.