Healthcare Provider Details

I. General information

NPI: 1659248417
Provider Name (Legal Business Name): EMILY ANN GREGORY OTD, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9020 N CAPITAL OF TEXAS HWY STE 200
AUSTIN TX
78759-7234
US

IV. Provider business mailing address

5521 SPRINGDALE RD APT 4315
AUSTIN TX
78723-6157
US

V. Phone/Fax

Practice location:
  • Phone: 512-372-1035
  • Fax:
Mailing address:
  • Phone: 956-572-0135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number123758
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: