NPIMap

Individual provider Active NPI

Whitney E Rosenberg, OT

  • Occupational Therapist
  • Fairfield, CA
National Provider Identifier
1063719177
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT14048 Issued in CA
Practice address
1411 Oliver Rd
Suite 200
Fairfield, CA 94534-3424
Phone
(707) 428-1311
Fax
(707) 428-1354
NPI assigned
Feb 25, 2011
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT14048 CA Primary
Occupational Therapist 225X00000X OT14553 FL
Occupational Therapist 225X00000X OT2663 MS

Addresses

Primary practice location

1411 Oliver Rd
Suite 200
Fairfield, CA 94534-3424

Mailing address

1411 Oliver Rd
Suite 200
Fairfield, CA 94534-3424
Phone (707) 428-1311

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

LicenseStateTypeSpecialty
OT14048CAMDOccupational Therapist
OT14553FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrantcare Outpatient Rehabilitation of California Inc Past Accepting new patients
Vibrantcare Outpatient Rehabilitation of California Inc PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1063719177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 OLIVER RD",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343424",
            "telephone_number": "707-428-1311",
            "fax_number": "707-428-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 OLIVER RD",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343424",
            "telephone_number": "707-428-1311",
            "fax_number": "707-428-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "WHITNEY",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT14048",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14553",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.