Active NPI
Alicia Louise Rasmussen
- Occupational Therapist
- Santa Rosa, CA
National Provider Identifier
1063118792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21235
- Practice address
- 5555 Montgomery Dr
Santa Rosa, CA 95409-8844 - Phone
- (707) 481-2120
- NPI assigned
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21235 | CA | Primary |
Addresses
Primary practice location
5555 Montgomery Dr
Santa Rosa, CA 95409-8844
Mailing address
5555 Montgomery Dr
Santa Rosa, CA 95409-8844
Phone (707) 481-2120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21235 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
Other names 1
- Alicia Louise Orozco
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 |
|---|---|---|---|
| 21235 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1063118792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954098844",
"telephone_number": "707-481-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954098844",
"telephone_number": "707-481-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "ALICIA",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "21235",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "OROZCO",
"middle_name": "LOUISE",
"credential": "OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.