Organization Active NPI

Su Casa Occupational Therapy P.C.

  • Occupational Therapist
  • Rocklin, CA
National Provider Identifier
1477426187
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SU CASA OCCUPATIONAL THERAPY P.C.
Practice address
3101 Sunset Blvd Ste 2C
Rocklin, CA 95677-3089
Phone
(209) 658-6370
NPI assigned
Sep 29, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Carol J Gavilan, OTR/LNPI 1912676974
Title
Ceo
Phone
(209) 658-6370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

3101 Sunset Blvd Ste 2C
Rocklin, CA 95677-3089

Mailing address

3101 Sunset Blvd Ste 2C
Rocklin, CA 95677-3089

National Provider Directory

National Provider Directory

Locations

3101 Sunset Blvd
Ste 2C
Rocklin, CA 95677
Phone (209) 658-6370

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1477426187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SUNSET BLVD STE 2C",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SUNSET BLVD STE 2C",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773089",
            "telephone_number": "209-658-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU CASA OCCUPATIONAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-28",
        "status": "A",
        "authorized_official_last_name": "GAVILAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-658-6370",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.