Active NPI
Amanda Jane Gretsch, O.T.R.
- Occupational Therapist
- Encinitas, CA
National Provider Identifier
1538229950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT6359
- Practice address
- 543 Encinitas Blvd Ste 114
Encinitas, CA 92024-3744 - Phone
- (760) 525-1111
- NPI assigned
- Dec 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT 6359 | CA | |
| Occupational Therapist | 225X00000X | OT6359 | CA | Primary |
Addresses
Primary practice location
543 Encinitas Blvd Ste 114
Encinitas, CA 92024-3744
Mailing address
543 Encinitas Blvd Ste 114
Encinitas, CA 92024-3744
Phone (760) 525-1111
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 |
|---|---|---|---|
| OT 6359 | CA | MD | Specialist |
| OT6359 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In-Home Physical Therapy PC | Past | Accepting new patients | |
| Amanda J Gretsch, Inc. | Occupational Therapist | Past | Accepting new patients |
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.
-
- Occupational Therapist
- San Diego, CA
- NPI 1164785804
-
- Multi-Specialty Clinic/Center
- Encinitas, CA
- NPI 1588800874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1538229950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 ENCINITAS BLVD STE 114",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920243744",
"telephone_number": "760-525-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 ENCINITAS BLVD STE 114",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920243744",
"telephone_number": "760-525-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRETSCH",
"first_name": "AMANDA",
"middle_name": "JANE",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "OT 6359",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT6359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
- Jeffrey Howard Greenberg, D.D.S.
- Kathryn Greene, OTR/L
- Laura Weiner Greene, OT
- Amanda Lynn Greenwell, LCSW
- Greg McElroy DDS Inc (Dr Gregory Allen McElroy DDS Inc)
- Gricelda Fragoso PSYD a Professional Psychology Corporation (Mind Body Soul Psychology)
- Joyce Ho Grilo
- Stacy Grissen, MSN, AGNP
- Catherine Gross, PTA
- Gary P Gross, M. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.