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
- Last updated
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16910 | CA | MD | Speech-Language Pathologist |
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) 947-9646
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- County of San Mateo (County of San Mateo Correctional Health)
- Jenna Brooke Cowen
- Alexas Nicole Cox
- Katherine Anne Cox, MPH RDN
- Angela G. Cozzolino, DPT
- Kathleen Mary Craig, OTR L
- Janet C Cran
- Lindsey Crane
- Katelyn Cresta, DC
- Crestwood Behavioral Health, Inc. (Cordilleras Health & Healing Ponderosa House)
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.