Active NPI
Jeannie Ellen Craig, OT
- Ergonomics Occupational Therapist
- Walnut Creek, CA
National Provider Identifier
1295814242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ergonomics Occupational Therapist
- License
- OT 4346
- Practice address
- 2255 Ygnacio Valley Rd Ste E
Walnut Creek, CA 94598-3349 - Phone
- (925) 947-6666
- Fax
- (925) 935-6714
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ergonomics Occupational Therapist | 225XE1200X | OT 4346 | CA | Primary |
Addresses
Primary practice location
2255 Ygnacio Valley Rd Ste E
Walnut Creek, CA 94598-3349
Mailing address
PO Box 612260
San Jose, CA 95161-2260
Phone (877) 325-2776
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 4346 | CA | MD | Ergonomics Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295814242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 612260",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951612260",
"telephone_number": "877-325-2776",
"fax_number": "408-945-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 YGNACIO VALLEY RD STE E",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983349",
"telephone_number": "925-947-6666",
"fax_number": "925-935-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "JEANNIE",
"middle_name": "ELLEN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "CA",
"license": "OT 4346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.