Individual provider Active NPI

Nicole Hofeditz, MSOT, OTR/L

  • Occupational Therapist
  • Novato, CA
National Provider Identifier
1083569131
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15747 Issued in CA
Practice address
45 San Ramon Way
Novato, CA 94945-1616
Phone
(415) 798-5411
NPI assigned
Mar 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15747 CA Primary

Addresses

Primary practice location

45 San Ramon Way
Novato, CA 94945-1616

Mailing address

1032 Los Gamos Rd Apt G
San Rafael, CA 94903-2521
Phone (415) 798-5411

Other practice location 1

399 Alameda De La Loma
Novato, CA 94949-5935
Phone (415) 798-5411

Other practice location 2

755 Sutro Ave
Novato, CA 94947-1937
Phone (415) 798-5411

Other practice location 3

1320 Lynwood Dr
Novato, CA 94947-4629
Phone (415) 798-5411

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

LicenseStateTypeSpecialty
15747CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1083569131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 LOS GAMOS RD APT G",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032521",
            "telephone_number": "415-798-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SAN RAMON WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451616",
            "telephone_number": "415-798-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Alameda De La Loma",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949495935",
            "country_code": "US",
            "telephone_number": "415-798-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Sutro Ave",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949471937",
            "country_code": "US",
            "telephone_number": "415-798-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Lynwood Dr",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949474629",
            "country_code": "US",
            "telephone_number": "415-798-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFEDITZ",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.

Verify at the official NPI Registry.