Active NPI
Linda Little Croteau, PT
- Physical Therapist
- Novato, CA
National Provider Identifier
1881792018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12668
- Practice address
- 487 Entrada Dr
Novato, CA 94949-5518 - Phone
- (415) 883-3193
- Fax
- (415) 883-3193
- NPI assigned
- Sep 20, 2006
- 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 | PT12668 | CA | Primary |
Addresses
Primary practice location
487 Entrada Dr
Novato, CA 94949-5518
Mailing address
448 Ignacio Blvd
#226
Novato, CA 94949-6085
Phone (415) 883-3193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT126680 | Other | CA | BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12668 | CA | MD | Physical Therapist |
| 12668 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881792018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 IGNACIO BLVD",
"address_2": "#226",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496085",
"telephone_number": "415-883-3193",
"fax_number": "415-883-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 ENTRADA DR",
"city": "NOVATO",
"state": "CA",
"postal_code": "949495518",
"telephone_number": "415-883-3193",
"fax_number": "415-883-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTEAU",
"first_name": "LINDA",
"middle_name": "LITTLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0PT126680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.