Organization Active NPI

Adaptive Roots

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1336848134
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ADAPTIVE ROOTS
Practice address
13119 Old West Ave
San Diego, CA 92129-2406
Phone
(858) 382-8507
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Nichole Barba
Title
Ceo / Occupational Therapist
Phone
(858) 382-8507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

13119 Old West Ave
San Diego, CA 92129-2406

Mailing address

13119 Old West Ave
San Diego, CA 92129-2406
Phone (858) 382-8507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1336848134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13119 OLD WEST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292406",
            "telephone_number": "858-382-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13119 OLD WEST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292406",
            "telephone_number": "858-382-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE ROOTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "BARBA",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "CEO / OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "858-382-8507"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.