Active NPI
Gretchen Largusa, DPT
- Physical Therapist
- Castro Valley, CA
National Provider Identifier
1740800804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16354
- Practice address
- 4116 Krolop Rd
Castro Valley, CA 94546-1220 - Phone
- (510) 331-9786
- NPI assigned
- Apr 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16354 | CA | Primary |
Addresses
Primary practice location
4116 Krolop Rd
Castro Valley, CA 94546-1220
Mailing address
4116 Krolop Rd
Castro Valley, CA 94546-1220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16354 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587254400000",
"number": "1740800804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4116 KROLOP RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945461220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4116 KROLOP RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945461220",
"telephone_number": "510-331-9786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARGUSA",
"first_name": "GRETCHEN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-19",
"last_updated": "2020-04-19",
"certification_date": "2020-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "16354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.