Erica Peterson, MOTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 12651 Issued in CA

Practice address

2819 Crow Canyon Rd
#205
San Ramon, CA 94583-1655

Phone

(925) 264-9810

NPI assigned

Oct 13, 2012

Sex

Female

Sole proprietor

Yes

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)

Not 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.

• The Learning Fountain, Inc.

  • Pediatric Occupational Therapist
  • San Ramon, CA
  • NPI 1669606182

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1350086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1649522780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 NORTON WAY",
            "address_2": "1",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664910",
            "telephone_number": "925-784-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 CROW CANYON RD",
            "address_2": "#205",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831655",
            "telephone_number": "925-264-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ERICA",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-13",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 12651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J Villalpando
• Valerie Peters
• Bruce Douglas Peterson, DC
• Courtney Jean Peterson
• Deanna Peterson
• Marcus Peterson
• Raquel Peterson
• Hallie Pettibone
• Amanda Pham
• Anne Pham

• Pediatric Occupational Therapist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.