Sadiya Alilire, OTR, RN

Individual provider Active NPI Occupational Therapist · Davis, CA

NPI 1225547284 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1225547284
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2809 (CA)
Practice address
1701 Arena Dr
Davis, CA 95618-6751
Phone
(530) 304-3304
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
591265CAMDRegistered Nurse
2809CAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 591265 CA
Gerontology Occupational Therapist 225XG0600X 2809 CA
Pediatric Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225XP0200X 2809 CA
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X 2809 CA Yes

Addresses

Primary practice location

1701 Arena Dr
Davis, CA 95618-6751

Mailing address

1701 Arena Dr
Davis, CA 95618-6751
Phone (530) 304-3304

Other providers in Davis, CA

All providers in Davis, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.