Individual provider Active NPI

Annabelle Riley Bewicke

  • Pediatric Occupational Therapist
  • Belmont, CA
National Provider Identifier
1093224651
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
17287 Issued in CA
Practice address
751 Alameda de Las Pulgas
Belmont, CA 94002-1606
Phone
(415) 497-2157
NPI assigned
Sep 27, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 17287 CA Primary

Addresses

Primary practice location

751 Alameda de Las Pulgas
Belmont, CA 94002-1606

Mailing address

21 Silk Oak Cir
San Rafael, CA 94901-8301
Phone (415) 497-2157

Other practice location 1

2945 Pacific Ave Apt 6
San Francisco, CA 94115-1036
Phone (415) 497-2157

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

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093224651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SILK OAK CIR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949018301",
            "telephone_number": "14154972157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ALAMEDA DE LAS PULGAS",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021606",
            "telephone_number": "415-497-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Pacific Ave Apt 6",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151036",
            "country_code": "US",
            "telephone_number": "415-497-2157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEWICKE",
        "first_name": "ANNABELLE",
        "middle_name": "RILEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "17287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.