Active NPI
Gregory Allen Deantonio, OTR/L
- Occupational Therapist
- Willow Grove, PA
National Provider Identifier
1790923977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009537
- Practice address
- 1113 N Easton Rd
Willow Grove, PA 19090 - Phone
- (215) 659-3060
- NPI assigned
- Jan 27, 2009
- Sex
- Male
- Sole proprietor
- No
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 | OC009537 | PA | Primary |
Addresses
Primary practice location
1113 N Easton Rd
Willow Grove, PA 19090
Mailing address
1113 N Easton Rd
Willow Grove, PA 19090
Phone (215) 659-3060
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 |
|---|---|---|---|
| OC009537 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1790923977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 N EASTON RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "19090",
"telephone_number": "215-659-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 N EASTON RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "19090",
"telephone_number": "215-659-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANTONIO",
"first_name": "GREGORY",
"middle_name": "ALLEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-27",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.