Assisted Living Therapies

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

OT4110 Issued in CA

Legal business name

ASSISTED LIVING THERAPIES

Practice address

3657 Blueberry Hill Dr
Shingle Springs, CA 95682-8885

Phone

(530) 677-5294

Fax

(530) 677-5294

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Anna Zimmerman, MSOTRNPI 1477654275

Title

Owner/Occupational Therapist

Phone

(530) 677-5294

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elizabeth Anna Zimmerman, M.S.O.T.R.

  • Occupational Therapist
  • Shingle Springs, CA
  • NPI 1477654275
  NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285735084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 BLUEBERRY HILL DR",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956828885",
            "telephone_number": "530-677-5294",
            "fax_number": "530-677-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 BLUEBERRY HILL DR",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956828885",
            "telephone_number": "530-677-5294",
            "fax_number": "530-677-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "530-677-5294",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSOTR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "OT4110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Christine Bruce
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• Assisted Living Facility in Shingle Springs, CA
• Providers in Shingle Springs, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.