Individual provider Active NPI

Terri Renee Gregg, MOT, OTR/L

  • Pediatric Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1790979706
Registry record updated Sep 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
08-0014 Issued in NV
Practice address
505 E Windmill LN # 1B-125
Las Vegas, NV 89123-1869
Phone
(702) 281-2552
Fax
(702) 361-7743
NPI assigned
Sep 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 08-0014 NV Primary

Addresses

Primary practice location

505 E Windmill LN # 1B-125
Las Vegas, NV 89123-1869

Mailing address

505 E Windmill LN # 1B-125
Las Vegas, NV 89123-1869
Phone (702) 281-2552

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

LicenseStateTypeSpecialty
08-0014NVMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Debbie Tilton Otrl Inc Pediatrics Past Accepting new patients
Tiltons Therapy Inc Past Accepting new patients

Organizations & group practices 2

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": "1188691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188691200000",
    "number": "1790979706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E WINDMILL LN # 1B-125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231869",
            "telephone_number": "702-281-2552",
            "fax_number": "702-361-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E WINDMILL LN # 1B-125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231869",
            "telephone_number": "702-281-2552",
            "fax_number": "702-361-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "TERRI",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-02",
        "last_updated": "2007-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "08-0014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2007; 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.