Active NPI
Stephanie J Greenspan, PT
- Physical Therapist
- Oakland, CA
National Provider Identifier
1376557686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24530
- Practice address
- 785 7TH St
Oakland, CA 94607-3225 - Phone
- (808) 282-2853
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2574 | HI | |
| Physical Therapist | 225100000X | 24530 | CA | Primary |
Addresses
Primary practice location
785 7TH St
Oakland, CA 94607-3225
Mailing address
785 7TH St
Oakland, CA 94607-3225
Phone (808) 282-2853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24530 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artletic Science | Current | Accepting new patients | |
| Windward Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
785 7th St
Oakland, CA 94607
Phone (808) 282-2853
Organizations & group practices 2
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 Therapy Clinic/Center
- Oakland, CA
- NPI 1477212256
-
- Physical Therapist
- Kailua, HI
- NPI 1588697932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1376557686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 7TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946073225",
"telephone_number": "808-282-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 7TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946073225",
"telephone_number": "808-282-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENSPAN",
"first_name": "STEPHANIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT2574",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "24530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.