Gregory Dominic Fernandez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

210616 Issued in TX

Practice address

1000 US Highway 82 E
Sherman, TX 75090-1704

Phone

(903) 893-9636

NPI assigned

Nov 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1902133234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 MAUMELLE DRIVE",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750231319",
            "telephone_number": "469-467-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 US HIGHWAY 82 E",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750901704",
            "telephone_number": "903-893-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "GREGORY",
        "middle_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadija Fawaz
• Tessa Charlene Feist
• Jessica Marie Fellinger
• Karyn L Feltner, OTR
• Kenna H Ferguson
• John Carl Ferrell, MD
• Alyssa Elaine Fetz
• Scott Martin Fiedler, MD
• Timothy R Fincher, MD
• David Firmage, DMD

• Occupational Therapy Assistant in Sherman, TX
• Providers in Sherman, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.