Pediatric Building Blocks

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 1757 Issued in CA

Legal business name

PEDIATRIC BUILDING BLOCKS

Practice address

1276 Gabriel CT
San Leandro, CA 94577-6821

Phone

(510) 895-1214

Fax

(510) 895-1029

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Margaret A Bledsoe, OTRL

Title

Owner, Occupational Therapist

Phone

(510) 895-1214

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1457591851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 GABRIEL CT",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776821",
            "telephone_number": "510-895-1214",
            "fax_number": "510-895-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 GABRIEL CT",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776821",
            "telephone_number": "510-895-1214",
            "fax_number": "510-895-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC BUILDING BLOCKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "510-895-1214",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 1757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.