Individual provider Active NPI

Chelsea Bess Tavill, MOT, OTR/L

  • Occupational Therapist
  • San Ramon, CA
National Provider Identifier
1568846202
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15188 Issued in CA
Practice address
2208 Camino Ramon
Suite B
San Ramon, CA 94583-1328
Phone
(925) 830-5133
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15188 CA Primary

Addresses

Primary practice location

2208 Camino Ramon
Suite B
San Ramon, CA 94583-1328

Mailing address

3360 Maguire Way
Unit 102
Dublin, CA 94568-8500
Phone (916) 549-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy at Play, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1568846202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 MAGUIRE WAY",
            "address_2": "UNIT 102",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945688500",
            "telephone_number": "916-549-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 CAMINO RAMON",
            "address_2": "SUITE B",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831328",
            "telephone_number": "925-830-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVILL",
        "first_name": "CHELSEA",
        "middle_name": "BESS",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.