Active NPI
Maygan Gutierrez, OTR
- Occupational Therapist
- Greenville, TX
National Provider Identifier
1821896473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 122412
- Practice address
- 4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852 - Phone
- (903) 408-5000
- NPI assigned
- Mar 7, 2025
- Sex
- Female
- 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 | 122412 | TX | Primary |
Addresses
Primary practice location
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Mailing address
6713 FM 513 S
Lone Oak, TX 75453-5105
Phone (903) 456-4743
Other names 1
- Maygan Bloyed
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 |
|---|---|---|---|
| 122412 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1821896473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6713 FM 513 S",
"city": "LONE OAK",
"state": "TX",
"postal_code": "754535105",
"telephone_number": "903-456-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 JOE RAMSEY BLVD E",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017852",
"telephone_number": "903-408-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MAYGAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "122412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAYGAN",
"last_name": "BLOYED",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.