Individual provider Active NPI

David Labrecque, MS, OTR/L, CHT

  • Occupational Therapist
  • Los Gatos, CA
National Provider Identifier
1740692961
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16631 Issued in CA
Practice address
360 Dardanelli LN Ste 1F
Los Gatos, CA 95032-1421
Phone
(408) 378-2240
NPI assigned
May 22, 2014
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11256 MA
Occupational Therapist 225X00000X 16631 CA Primary

Addresses

Primary practice location

360 Dardanelli LN Ste 1F
Los Gatos, CA 95032-1421

Mailing address

360 Dardanelli LN Ste 1F
Los Gatos, CA 95032-1421
Phone (408) 378-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829002623 CA Practitioner - Occupational Therapist in Private Practice 7911124367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of New England, College of Osteo Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

3222 Geary Blvd
San Francisco, CA 94118-3319
Phone (415) 831-4658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11256MAMDPhysical Therapist
16631CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC CurrentSince Oct 9, 2024 Accepting new patients
Select Cal Physical Therapy PC Occupational Therapist Current Accepting new patients
Select Cal Physical Therapy PC Occupational Therapist CurrentSince Oct 9, 2024 Accepting new patients
Select Cal Physical Therapy PC Past Accepting new patients

Locations

360 Dardanelli Ln
Ste 1F
Los Gatos, CA 95032
Phone (408) 374-8823

18625 Sutter Blvd
Ste 500
Morgan Hill, CA 95037
Phone (669) 377-1133

425 Sherman Ave
Ste 300
Palo Alto, CA 94306
Phone (650) 331-3700

1700 California St
Ste 530
San Francisco, CA 94109
Phone (415) 921-1758

3222 Geary Blvd
San Francisco, CA 94118
Phone (415) 831-4658

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1740692961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 DARDANELLI LN STE 1F",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321421",
            "telephone_number": "408-378-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 DARDANELLI LN STE 1F",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321421",
            "telephone_number": "408-378-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRECQUE",
        "first_name": "DAVID",
        "credential": "MS, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "11256",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.