Active NPI
Carolyn Ulitsky, CA-CMT
- Specialist
- San Ramon, CA
National Provider Identifier
1225374812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 21728
- Practice address
- 12811 Al Costa Blvd
San Ramon, CA 94583 - Phone
- (925) 719-3228
- Fax
- (925) 425-0662
- NPI assigned
- Dec 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21728 | CA | Primary |
Addresses
Primary practice location
12811 Al Costa Blvd
San Ramon, CA 94583
Mailing address
12811 Al Costa Blvd
San Ramon, CA 94583
Phone (925) 719-3228
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21728 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356912000000",
"number": "1225374812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12811 AL COSTA BLVD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94583",
"telephone_number": "925-719-3228",
"fax_number": "925-425-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12811 AL COSTA BLVD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94583",
"telephone_number": "925-719-3228",
"fax_number": "925-425-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULITSKY",
"first_name": "CAROLYN",
"credential": "CA-CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-31",
"last_updated": "2012-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "21728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.