GREG WOOTTON (NPI# 1972979045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972979045 |
| Entity Type | Individual |
| Full Name | GREG WOOTTON |
| Practice Address |
74 E Kimballs Ln Ste 200 Draper UT 84020-5005 |
| Mailing Address |
1648 W 1320 N Provo UT 84604-2959 |
| Practice Telephone | 8014322070 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
2793404201 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | NONE | NONE | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 915 S. 500 E., Suite 101, American Fork, UT 840033357 | 8016926830 |
| Street Address |
74 E KIMBALLS LN STE 200 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679949432 | Whitney Louder | Occupational Therapist | 1344 E Lake Springs Ln, Salt Lake City, UT 84117-7051 | 2015-08-17 |
| 1215322722 | Mendability, LLC | Occupational Therapist | 915 S 500 E, American Fork, UT 84003-3357 | 2015-04-01 |
| 1033757257 | Joshua David Parry | Occupational Therapist | 5770 S 250 E Ste G50, Murray, UT 84107-6165 | 2019-12-18 |
| 1386120624 | Keith Jewson | Occupational Therapist | 1034 N 500 W, Provo, UT 84604-3380 | 2018-07-18 |
| 1104336528 | Paul Edward Kionka | Occupational Therapist | 450 Williams Way, Moab, UT 84532-2185 | 2017-10-11 |
| 1891190930 | Allison Stone | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2014-10-31 |
| 1578962007 | Bonnie Larsen | Occupational Therapist | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2014-08-20 |
| 1578971578 | Allison Merrell | Occupational Therapist | 900 Round Valley Dr, Park City, UT 84060-7552 | 2014-07-23 |
| 1336443068 | Thomas N Riche | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2011-01-10 |
| 1689823338 | Richard Aaron Winn | Occupational Therapist | 1034 N 500 W, Provo, UT 84604-3380 | 2008-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.