Active NPI
Thomas Kowalski, O.T.
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1245562131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 1324
- Practice address
- 1 Daniel Burnham CT
Suite 365C
San Francisco, CA 94109-5455 - Phone
- (415) 409-7364
- Fax
- (415) 409-0735
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 1324 | CA | Primary |
Addresses
Primary practice location
1 Daniel Burnham CT
Suite 365C
San Francisco, CA 94109-5455
Mailing address
1 Daniel Burnham CT
Suite 365C
San Francisco, CA 94109-5455
Phone (415) 409-7364
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 |
|---|---|---|---|
| OT 1324 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1245562131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DANIEL BURNHAM CT",
"address_2": "SUITE 365C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941095455",
"telephone_number": "415-409-7364",
"fax_number": "415-409-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DANIEL BURNHAM CT",
"address_2": "SUITE 365C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941095455",
"telephone_number": "415-409-7364",
"fax_number": "415-409-0735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "THOMAS",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 1324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.