Runa Koli, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00483400 Issued in NJ

Practice address

150 Belle Meade PL
San Ramon, CA 94583-3813

Phone

(925) 828-8240

NPI assigned

Nov 2, 2011

Last updated

Nov 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Downtown Physio LLC

  • Occupational Therapist
  • Jersey City, NJ
  • NPI 1629595202
  Authorized official Same address or phone
• Ascend Rehab Services Inc,

  • Early Intervention Provider Agency
  • San Ramon, CA
  • NPI 1770817363
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1386920494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREENE ST",
            "address_2": "109",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024545",
            "telephone_number": "646-821-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BELLE MEADE PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833813",
            "telephone_number": "925-828-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLI",
        "first_name": "RUNA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00483400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sneha Kishorenath, M.D.
• Jaclyn Knapp
• Jesselyn Nicole Knight
• Sue Johnson Knight, MD
• Kassondra Kochan
• Robin Joanne Krenek
• Zoe Kritikos
• Andrew Krompier, MD
• Shelley S Krompier, LCSW
• Genieve Krstic

• Occupational Therapist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.