Active NPI
Gretchen Swanson, P.T.
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1437348158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 8304
- Practice address
- 621 Coronado Ave
Long Beach, CA 90814-1439 - Phone
- (562) 434-9288
- NPI assigned
- Oct 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 8304 | CA | Primary |
Addresses
Primary practice location
621 Coronado Ave
Long Beach, CA 90814-1439
Mailing address
621 Coronado Ave
Long Beach, CA 90814-1439
Phone (562) 434-9288
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 |
|---|---|---|---|
| PT 8304 | CA | MD | Physical Therapist |
| 8304 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1437348158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 CORONADO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908141439",
"telephone_number": "562-434-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 CORONADO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908141439",
"telephone_number": "562-434-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "GRETCHEN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 8304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.