Active NPI
Brooke Idell Czuleger, OTR/L
- Occupational Therapist
- San Anselmo, CA
National Provider Identifier
1295244036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT17805
- Practice address
- 412 Red Hill Ave Ste 1
San Anselmo, CA 94960-2468 - Phone
- (805) 698-1262
- NPI assigned
- Sep 25, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT17805 | CA | Primary |
Addresses
Primary practice location
412 Red Hill Ave Ste 1
San Anselmo, CA 94960-2468
Mailing address
3204 Calle Fresno
Santa Barbara, CA 93105-2737
Phone (805) 698-1262
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 |
|---|---|---|---|
| OT17805 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1295244036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 CALLE FRESNO",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931052737",
"telephone_number": "805-698-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 RED HILL AVE STE 1",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949602468",
"telephone_number": "805-698-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZULEGER",
"first_name": "BROOKE",
"middle_name": "IDELL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-25",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT17805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Anselmo, CA
- Ted Stewart Cousens, MFT
- Marian H Cremin, LCSW
- Samiline B Cruz, PHARMACY TECHNICIAN
- John David Culbertson, M.D.
- Nancy Marie Culhane, LMFT, BC-TMHP
- Katharine Way Darlington, RN, BSN, MBA
- Kathleen Daunoras, PHARMD
- David P Van Peursem DDS a Professional Corporation
- DBT Center of Marin
- DBT Psychology Center of Marin, PC (DBT Center of Marin)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.