Kelly C Gruenloh, RPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT30378 Issued in CA

Practice address

417 Henrietta Ave
Los Osos, CA 93402-2519

Phone

(805) 239-3696

NPI assigned

Dec 5, 2006

Last updated

Dec 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North County Physical Therapy IncGroup PAC ID 4688605470, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.47 of 100Reported as individual

Quality

85.3

Improvement activities

40

Cost

83.99

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• North County Physical Therapy,Inc.

  • Physical Therapy Clinic/Center
  • Paso Robles, CA
  • NPI 1649445180
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1346308764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 HENRIETTA AVE",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934022519",
            "telephone_number": "805-239-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HENRIETTA AVE",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934022519",
            "telephone_number": "805-239-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENLOH",
        "first_name": "KELLY",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT30378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001411",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary L. Englund, OD, Apc (Optometric Care Associates)
• Alexis Victoria Gibson, MA, LMFT
• Patricia Gimer, M.A., LMFT
• Gold Coast Surgical Assistants, Inc
• Jamie R. Greenberg, MFT
• Robert Michael Hambly, M.A.,S-LP
• William Keith Hanan, R.PH.
• Annette S. Hannig, RDHAP
• Sarah Elizabeth Harwood, MA, AMFT
• Richard Edward Heather, MD

• Physical Medicine & Rehabilitation Physician in Los Osos, CA
• Providers in Los Osos, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.