Active NPI
Carolyn Raymond, O.T.
- Occupational Therapist
- Oakland, CA
National Provider Identifier
1417186966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9065
- Practice address
- 344 Monte Vista Ave
#1D
Oakland, CA 94611-4581 - Phone
- (510) 922-9604
- NPI assigned
- Jul 6, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9065 | CA | Primary |
Addresses
Primary practice location
344 Monte Vista Ave
#1D
Oakland, CA 94611-4581
Mailing address
344 Monte Vista Ave
#1D
Oakland, CA 94611-4581
Phone (510) 922-9604
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 |
|---|---|---|---|
| 9065 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1417186966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 MONTE VISTA AVE",
"address_2": "#1D",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114581",
"telephone_number": "510-922-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 MONTE VISTA AVE",
"address_2": "#1D",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114581",
"telephone_number": "510-922-9604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "CAROLYN",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9065",
"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 Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.