Individual provider Active NPI

Alison Roozeboom, MS, OTR/L

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1427799196
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22130 Issued in CA
Practice address
6501 Crown Blvd Ste 100a
San Jose, CA 95120-2903
Phone
(408) 601-0993
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 22130 CA Primary

Addresses

Primary practice location

6501 Crown Blvd Ste 100a
San Jose, CA 95120-2903

Mailing address

6501 Crown Blvd Ste 100a
San Jose, CA 95120-2903
Phone (408) 601-0993

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
22130CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Therapy Center, Co. PastSince Apr 10, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1427799196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CROWN BLVD STE 100A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202903",
            "telephone_number": "408-601-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 CROWN BLVD STE 100A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202903",
            "telephone_number": "408-601-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOZEBOOM",
        "first_name": "ALISON",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.