Amanda J Gretsch, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT6359 Issued in CA

Legal business name

AMANDA J GRETSCH, INC.

Practice address

5402 Ruffin Rd Ste 104
San Diego, CA 92123-1319

Phone

(760) 525-3111

NPI assigned

Jun 18, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Gretsch, O.T.R./L.NPI 1538229950

Title

President/Occupational Therapist

Phone

(760) 525-3111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Jane Gretsch, O.T.R.

  • Occupational Therapist
  • Encinitas, CA
  • NPI 1538229950
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1164785804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236049",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920236049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 RUFFIN RD STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231319",
            "telephone_number": "760-525-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA J GRETSCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "GRETSCH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "760-525-3111",
        "authorized_official_credential": "O.T.R./L."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT6359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caarolyn A Amaechi, RN
• Anna N Amagou
• Amal Recovery Center
• Fozia Aman
• Amanda Hutchins Chiropractic a Professional Corporation
• Eliyah Amani
• Noorhan Amani, MD
• Terrence Scott Amar
• Anthony Amaral
• Clarence Louis Amaral II, PH. D.

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.