Organization Active NPI

Starburst Therapy Inc

  • Pediatric Occupational Therapist
  • Novato, CA
National Provider Identifier
1144946310
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
STARBURST THERAPY INC
Practice address
18 Commercial Blvd
Novato, CA 94949-6120
Phone
(415) 320-1329
Fax
(415) 729-1780
NPI assigned
Oct 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Deborah Baumgarten, OTR/LNPI 1285268730
Title
Ceo
Phone
(415) 867-8575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

18 Commercial Blvd
Novato, CA 94949-6120

Mailing address

18 Commercial Blvd Ste 6
Novato, CA 94949-6120
Phone (415) 320-1329

National Provider Directory

National Provider Directory

Locations

18 Commercial Blvd
Ste 6
Novato, CA 94949
Phone (415) 320-1329

18 Commercial Blvd
Novato, CA 94949
Phone (415) 320-1329

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1144946310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 COMMERCIAL BLVD STE 6",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496120",
            "telephone_number": "415-320-1329",
            "fax_number": "415-729-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COMMERCIAL BLVD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496120",
            "telephone_number": "415-320-1329",
            "fax_number": "415-729-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBURST THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-02-13",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-867-8575",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 13, 2023; 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.