Active NPI
David Labrecque, MS, OTR/L, CHT
- Occupational Therapist
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16631
- 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, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11256 | MA | MD | Physical Therapist |
| 16631 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Cal Physical Therapy PC | Current | Accepting new patients | |
| Select Cal Physical Therapy PC | Occupational Therapist | Current | Accepting new patients |
| Select Cal Physical Therapy PC | Occupational Therapist | Current | 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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1417619008
Occupational Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- San Francisco, CA
- NPI 1255002077
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Morgan Hill, CA
- NPI 1487317004
Occupational Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Rohnert Park, CA
- NPI 1932875267
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.