Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diane Gregory, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1013391341

Diane Gregory, COTA/L is an Occupational Therapy Assistant in O Fallon, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

2000 Boardwalk Place Dr
O Fallon, MO 63368-3900
Phone: (618) 292-2780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2014024930 (MO)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 057.004125 (IL)

Record details

NPI number1013391341
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJuly 16, 2015
Last updated in NPPESJuly 19, 2015
Mailing address3985 Marietta Dr, Florissant, MO 63033-3214

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