Active NPI
Carley Kruger
- Pediatric Occupational Therapist
- Sausalito, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 24898
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ready Set Go Therapy, Inc. | Pediatrics | Current | 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
- 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.
-
- Health Service Clinic/Center
- San Diego, CA
- NPI 1801288535
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.