Paul R Gregory, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

335073-4202 Issued in UT

Practice address

1300 N 500 E Suite 120
Suite 120
Logan, UT 84341

Phone

(435) 716-2880

Fax

(435) 716-2811

NPI assigned

Jun 30, 2015

Last updated

Jun 30, 2015By the provider in NPPES

Sex

Male

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1740663566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "MILLVILLE",
            "state": "UT",
            "postal_code": "843260236",
            "telephone_number": "435-716-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 500 E SUITE 120",
            "address_2": "SUITE 120",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-716-2880",
            "fax_number": "435-716-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "UT",
            "license": "335073-4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wess R Greene, PT
• Kirsten Greenfield, LCSW
• Brandon David Greenwood, PT
• Gregory E. Anderson PC
• Gregory E. Anderson PC
• Whitney Gregory
• Amalia Jean Gridley
• Jamie Len Griffin
• Aiena Laya Angeles Bautista Griffith, PT
• Crystal Grimes

• Occupational Therapy Assistant in Logan, UT
• Providers in Logan, UT by specialty
• Occupational Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.