Active NPI
Elliott Brent
- Occupational Therapist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT14583
- Practice address
- 5350 Madison Ave
Sacramento, CA 95841-3169 - Phone
- (916) 677-0008
- NPI assigned
- Aug 5, 2018
- Last updated
- Aug 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | OT14583 | CA | Primary |
Addresses
Primary practice location
5350 Madison Ave
Sacramento, CA 95841-3169
Mailing address
5350 Madison Ave
Sacramento, CA 95841-3169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1759 Tudor Way
Plumas Lake, CA 95961-8952
1920 W Potomac Ave
Chicago, IL 60622-3149
7 Clyde Rd
Somerset, NJ 08873-5049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14583 | CA | MD | Dental Hygienist |
| OT14583 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.a.C. Physical Therapy, P.C. | Multi-Specialty | Current | Accepting new patients |
| CRS Physical Therapy Inc. | Multi-Specialty | Current | Accepting new patients |
| Therapy in Your Home - OT, PT, St | Multi-Specialty | Current | Accepting new patients |
| Fox Rehabilitation Physical Therapy Ca PC | Multi-Specialty | Current | Accepting new patients |
| Good Health Medical Inc | Multi-Specialty | Past | Accepting new patients |
| West Coast Medical Care Professional Corporation | Multi-Specialty | Past | Accepting new patients |
Locations
16868 Via del Campo Ct
Ste 100
San Diego, CA 92127
Phone (313) 629-9340
95 Duesenberg Dr
Westlake Village, CA 91362
Phone (805) 413-3300
1103 Butte House Rd
Ste D
Yuba City, CA 95991
Phone (530) 324-8490
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Multi-Specialty
-
- Geriatric Medicine (Internal Medicine) Physician
- Sacramento, CA
- NPI 1710857933
Multi-Specialty
-
- Adult Medicine Physician
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- NPI 1861888331
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533427200000",
"number": "1457839029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 MADISON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 MADISON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413169",
"telephone_number": "916-677-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENT",
"first_name": "ELLIOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-05",
"last_updated": "2018-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT14583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.