Active NPI
Eric Szymonski, OT
- Occupational Therapist
- Elk Grove, CA
National Provider Identifier
1063536753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15021
- Practice address
- 9461 Batey Ave
Elk Grove, CA 95624-2005 - Phone
- (916) 685-9525
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0690 | SD | |
| Occupational Therapist | 225X00000X | 103430 | MN | |
| Occupational Therapist | 225X00000X | 15021 | CA | Primary |
Addresses
Primary practice location
9461 Batey Ave
Elk Grove, CA 95624-2005
Mailing address
5201 Congress Ave Ste 160
Boca Raton, FL 33487-3629
Phone (561) 998-2232
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103430 | MN | MD | Occupational Therapist |
| 0690 | SD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1063536753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 CONGRESS AVE STE 160",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873629",
"telephone_number": "561-998-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9461 BATEY AVE",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956242005",
"telephone_number": "916-685-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZYMONSKI",
"first_name": "ERIC",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0690",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103430",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.