Vlada Rutkevich, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1055 Issued in CA

Practice address

410 N Winchester Blvd
Santa Clara, CA 95050-6325

Phone

(408) 373-4839

NPI assigned

Nov 21, 2023

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1417722331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DE ANZA BLVD # 51",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023989",
            "telephone_number": "408-373-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N WINCHESTER BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506325",
            "telephone_number": "408-373-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKEVICH",
        "first_name": "VLADA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth Ruiz, M.D./PH.D.
• Nataly Ruiz
• Rujvi Mayank Bhatt DDS Inc.
• Adrien Rumsey
• Kristine Rustad, MD
• Daniel B. Saal, MD
• Michael Sabedra
• Amela Saelee
• Safeway Inc
• Khalil Saghezchi, DDS

• Occupational Therapist in Santa Clara, CA
• Providers in Santa Clara, 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 21, 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.