Taylor Alicia Tavares, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

28340 Issued in CA

Practice address

9747 Sierra College Blvd
Granite Bay, CA 95746-6320

Phone

(916) 846-9800

NPI assigned

Jul 27, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1508788019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 FOLSOM RANCH DR APT 103",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9747 SIERRA COLLEGE BLVD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466320",
            "telephone_number": "916-846-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Roseville Pkwy",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "957477594",
            "country_code": "US",
            "telephone_number": "916-432-2878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Secret Ravine Pkwy",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614097",
            "country_code": "US",
            "telephone_number": "916-436-7579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "TAYLOR",
        "middle_name": "ALICIA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "28340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.