NPI 1154488823 · live from the CMS NPI Registry
James Greg Blotter, OTR
Occupational Therapist in Logan, UT. National Provider Identifier 1154488823, active.
NPI record
| NPI | 1154488823 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 1300 N 500 E, Logan, UT 84341 |
| Practice phone | 435-716-2880 |
| Mailing address | Po Box 25537, Salt Lake City, UT 84125 |
| Enumerated | January 2, 2007 |
| Last updated | June 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 107090-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.