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

Gregory Booth, PT

Individual provider Physical Therapist · NPI 1760417448

Gregory Booth, PT is a Physical Therapist in Private Practice in Fremont, California. Qualified in 1991, 35 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2006
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

38690 Stivers St
Fremont, CA 94536-5336
Phone: (510) 794-8484
Fax: (510) 792-5213
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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 17617 (CA)

Record details

NPI number1760417448
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2296 Country Dr, Fremont, CA 94536-5315

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated

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