NPIMap

Organization Active NPI

Developmental Occupational Therapy

  • Occupational Therapy Assistant
  • Sacramento, CA
National Provider Identifier
1467218982
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
DEVELOPMENTAL OCCUPATIONAL THERAPY
Practice address
3416 American River Dr Ste B
Sacramento, CA 95864-5753
Phone
(916) 979-0497
NPI assigned
Feb 22, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Angela Updegraff
Title
Cota/L
Phone
(916) 425-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU Primary

Addresses

Primary practice location

3416 American River Dr Ste B
Sacramento, CA 95864-5753

Mailing address

3416 American River Dr Ste B
Sacramento, CA 95864-5753
Phone (916) 979-0497

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1467218982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 AMERICAN RIVER DR STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645753",
            "telephone_number": "916-979-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 AMERICAN RIVER DR STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645753",
            "telephone_number": "916-979-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "UPDEGRAFF",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "916-425-8330"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "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 Jun 14, 2024; 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.