Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory Black, PT, OCS

Individual provider Physical Therapist · NPI 1225153091

Gregory Black, PT, OCS is a Physical Therapist in Stockton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

10200 Trinity Pkwy Ste 205
Stockton, CA 95219-7286
Phone: (209) 451-3920
Fax: (209) 451-3902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT16285 (CA)

Record details

NPI number1225153091
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , OCS
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESApril 24, 2017
Mailing address534 E Pine St, Stockton, CA 95204-5536

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