Individual provider Active NPI

Amanda Jane Gretsch, O.T.R.

  • Occupational Therapist
  • Encinitas, CA
National Provider Identifier
1538229950
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT6359 Issued in CA
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

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT 6359CAMDSpecialist
OT6359CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In-Home Physical Therapy PC PastSince Jan 1, 2014 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.

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

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.

Verify at the official NPI Registry.