Gregory Ryan Smith, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-008854 Issued in AZ

Practice address

1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725

Phone

(602) 808-9912

NPI assigned

Nov 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Valley Pediatric Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1366899171

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1891452330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18245 N PIMA RD APT 3091",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556375",
            "telephone_number": "732-882-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 W ROSE GARDEN LN STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272725",
            "telephone_number": "602-808-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "RYAN",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-18",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01031700",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falocquious Miguel Smith
• Gary T Smith, MS, PT
• Gina Laraine Smith, M.D.
• Gina M Smith
• Gregory C Smith, PHARM.D.
• Gregory T Smith, D.D.S.
• Gwenneth P. Smith, P.T.
• Gwyndolen Smith, LPN
• Harriet J Smith, PHD
• Herman Bradley Smith, MD

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.