Audrey Elizabeth Hoffman, OTD, OTR/L, COMT-UL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT25666 Issued in CA

Practice address

801 College Ave
Kentfield, CA 94904-2562

Phone

(415) 258-9894

NPI assigned

Feb 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rehabclinics SPT Inc

  • Physical Therapist
  • Eldersburg, MD
  • NPI 1164427092

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1639762131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 COLLEGE AVE",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042562",
            "telephone_number": "415-258-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 COLLEGE AVE",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042562",
            "telephone_number": "415-258-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "AUDREY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L, COMT-UL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21425",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT25666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert S. Kaufman, M.D., Medical Corporation
• Jessica Herbold, PH.D.
• Kane Rene Hernandez
• John Frederick Herschleb, DDS
• Bonnie Louise Hoag, M.F.T.
• Kyndra M Holloway
• Gretchen Hoskins, MFT
• Courtenay Irene Houk, MA, LMFT
• Dedalus Hyde, PSY.D.
• Bruce Immerman, M.A. MFT

• Occupational Therapist in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.