Active NPI
Gretchen Craford, P.T.
- Physical Therapist
- Redwood City, CA
National Provider Identifier
1316114366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16910
- Practice address
- 170 Alameda de Las Pulgas
Redwood City, CA 94062-2751 - Phone
- (650) 367-5517
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16910 | CA | Primary |
Addresses
Primary practice location
170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Mailing address
1027 Ray Ave
Los Altos, CA 94022-1046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211028002345 | CA | Practitioner - Physical Therapist in Private Practice | 0345638094 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadduck - Physical Therapy Works Inc | Physical Therapist | Current | Accepting new patients |
Locations
794 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 547-9646
Organizations & group practices 1
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.
-
- Physical Therapist
- Los Altos, CA
- NPI 1114678794
CA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1316114366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 RAY AVE",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 ALAMEDA DE LAS PULGAS",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940622751",
"telephone_number": "650-367-5517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFORD",
"first_name": "GRETCHEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "16910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.