Gregory Dean Dunnicliff, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

86420 Issued in CA

Practice address

2087 Grand Canal Blvd
Suite 17
Stockton, CA 95207-6651

Phone

(209) 473-1138

Fax

(209) 473-1891

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larsen Dunnicliff Physical Therapy IncGroup PAC ID 4284794512, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Larsen Dunnicliff Physical Therapy Inc

  • Specialist
  • Stockton, CA
  • NPI 1093840407

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295823409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 GRAND CANAL BLVD",
            "address_2": "SUITE 17",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076651",
            "telephone_number": "209-473-1138",
            "fax_number": "209-473-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 GRAND CANAL BLVD",
            "address_2": "SUITE 17",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076651",
            "telephone_number": "209-473-1138",
            "fax_number": "209-473-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNICLIFF",
        "first_name": "GREGORY",
        "middle_name": "DEAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "86420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Dunn
• Kevin Scott Dunn, PT, DPT
• Oneshiah Dunn
• Quanetta Latrice Dunn
• Amber Catherine Dunne
• Tiana Duong
• Van Duong, PHARMD
• Tierra Marie Dupre
• Shanya Evelyn Dupree
• Rosenah Durago

• Physical Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.