Active NPI
Olivia Larocca Simon
- Physical Therapist
- Oakland, CA
National Provider Identifier
1407707441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 309397
- Practice address
- 2345 Broadway
Oakland, CA 94612-2414 - Phone
- (510) 338-7283
- NPI assigned
- Feb 5, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 309397 | CA | Primary |
Addresses
Primary practice location
2345 Broadway
Oakland, CA 94612-2414
Mailing address
631 Frederick St Unit B
San Francisco, CA 94117-2709
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 |
|---|---|---|---|
| 309397 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1407707441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 FREDERICK ST UNIT B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122414",
"telephone_number": "510-338-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "OLIVIA",
"middle_name": "LAROCCA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "309397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.