Therapy Fantastic LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

THERAPY FANTASTIC LLC

Practice address

7575 Auburn Folsom Rd
Granite Bay, CA 95746-7327

Phone

(408) 940-2869

NPI assigned

Jan 21, 2025

Organization subpart

No

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

Authorized official

Name

Vivian Rodriguez

Title

President

Phone

(408) 940-2869

Specialties & licenses 1

Addresses

Other names 1

• Therapy Fantastic Doing business as

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1114739984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 AUBURN FOLSOM RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957467327",
            "telephone_number": "408-940-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 AUBURN FOLSOM RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957467327",
            "telephone_number": "408-940-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY FANTASTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-940-2869"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Fantastic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tavallaei, D.M.D., Corporation
• Taylor Alicia Tavares, OTD, OTR/L
• Carly Taylor
• Michael Herbert Taylor, M.D.
• TCC Care Services LLC
• Charlene Thomas
• Heather Thompson
• Jasmine Thompson
• Carley Thornton
• Kathleen Thorpe

• Occupational Medicine Clinic/Center in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Occupational Medicine Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.