Active NPI
Tiffany Tu, OTR/L
- Occupational Therapist
- Sacramento, CA
National Provider Identifier
1164854634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19422
- Practice address
- 5270 Elvas Ave
Sacramento, CA 95819-2332 - Phone
- (510) 672-3693
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Occupational Therapist | 225X00000X | 19422 | CA | Primary |
Addresses
Primary practice location
5270 Elvas Ave
Sacramento, CA 95819-2332
Mailing address
1830 G St Apt 2
Sacramento, CA 95811-2160
Phone (510) 672-3693
Other practice location 1
2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19422 | Other | CA | OT LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tiffany.tu@capitalkidsplace.com | Capital Kids Occupational Therapy |
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
Interoperability endpoints
- tiffany.tu@capitalkidsplace.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1164854634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 G ST APT 2",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958112160",
"telephone_number": "510-672-3693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 ELVAS AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958192332",
"telephone_number": "510-672-3693"
}
],
"practiceLocations": [
{
"address_1": "2275 Arlington Dr",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945781132",
"country_code": "US",
"telephone_number": "510-317-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TU",
"first_name": "TIFFANY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "19422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE NUMBER",
"identifier": "19422",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tiffany.tu@capitalkidsplace.com",
"affiliation": "Y",
"endpointDescription": "Work Email",
"affiliationName": "Capital Kids Occupational Therapy",
"address_1": "5270 Elvas Ave",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958192332",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.