Individual provider Active NPI

Carley Kruger

  • Pediatric Occupational Therapist
  • Sausalito, CA
National Provider Identifier
1720855950
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
24898 Issued in CA
Practice address
180 Harbor Dr Ste 112
Sausalito, CA 94965-2845
Phone
(415) 339-8800
Fax
(415) 963-4243
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 24898 CA Primary

Addresses

Primary practice location

180 Harbor Dr Ste 112
Sausalito, CA 94965-2845

Mailing address

2120 Jones St Apt 3
San Francisco, CA 94133-2531
Phone (925) 786-7748

Other practice location 1

250 Bel Marin Keys Blvd Ste A
Novato, CA 94949-5727
Phone (415) 339-8800

Other practice location 2

4000 Civic Center Dr Ste 100
San Rafael, CA 94903-4151
Phone (628) 877-0040

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ready Set Go Therapy, Inc. Pediatrics CurrentSince Dec 1, 2023 Accepting new patients
Cortica Healthcare Inc Past Accepting new patients

Locations

350 Gate 5 Rd
Sausalito, CA 94965
Phone (415) 339-8800

180 Harbor Dr
Ste 112
Sausalito, CA 94965
Phone (415) 339-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1720855950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 JONES ST APT 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332531",
            "telephone_number": "925-786-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HARBOR DR STE 112",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652845",
            "telephone_number": "415-339-8800",
            "fax_number": "415-963-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Bel Marin Keys Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949495727",
            "country_code": "US",
            "telephone_number": "415-339-8800",
            "fax_number": "415-963-4243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Civic Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949034151",
            "country_code": "US",
            "telephone_number": "628-877-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "CARLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "24898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.