Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY BLACK, PT, OCS
ActiveGREGORY BLACK, PT, OCS is a Physical Therapy Assistant healthcare provider located in STOCKTON, California. NPI 1225153091 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · STOCKTON, CA
Registration Details
- NPI Number
- 1225153091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2007 (19.409018163126 yrs)
- Last Updated
- Apr 24, 2017
- License
-
PT16285 (CA)
Practice Information
- Address
-
10200 TRINITY PKWYSUITE 205STOCKTON, CA, 952197286Browse CA providers · Browse ZIP 95219
- Phone
- 2094513920
- Fax
- 2094513902
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DENNIS SHAY HALLIDAY | PHYSICAL THERAPIST | 1558345959 |
| MICHAEL JOSEPH SERRA | PT | 1477538130 |
| MAY MARDINI | PT | 1801866777 |
| DR. TODD ELDON DAVENPORT | DPT OCS | 1952375982 |
| MR. MATT A SHEEHAN | PT | 1326091596 |
| KEVIN DANIEL LANE | PT | 1124056536 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.