Provider Demographics
NPI:1033909718
Name:BOHELER, GREGORY (MSOT, OTR/L)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:BOHELER
Suffix:
Gender:
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 WESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2444
Mailing Address - Country:US
Mailing Address - Phone:919-360-4327
Mailing Address - Fax:
Practice Address - Street 1:309 WESTBROOK DR
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2444
Practice Address - Country:US
Practice Address - Phone:919-360-4327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14554225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist