Individual provider Active NPI

Nicole Lancaster Gregory, OTR

  • Occupational Therapist
  • Plano, TX
National Provider Identifier
1750686556
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113983 Issued in TX
Practice address
350 Vista Court Drive Apt 2304
Plano, TX 75074
Phone
(945) 271-5026
Fax
(903) 535-7384
NPI assigned
Jan 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 113983 TX Primary

Addresses

Primary practice location

350 Vista Court Drive Apt 2304
Plano, TX 75074

Mailing address

350 Vista Court Drive Apt 2304
Plano, TX 75074
Phone (945) 271-5026

Other names 1

  • Mrs. Nicole Gregory Professional 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

State licenses

LicenseStateTypeSpecialty
113983TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Pelvic Health, LLC Occupational Therapist CurrentSince Nov 26, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1750686556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 VISTA COURT DRIVE APT 2304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "945-271-5026",
            "fax_number": "903-535-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 VISTA COURT DRIVE APT 2304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "945-271-5026",
            "fax_number": "903-535-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "NICOLE",
        "middle_name": "LANCASTER",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GREGORY",
            "prefix": "MRS.",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.