Individual provider Active NPI

Aimee Marianne Dejoie, OTR/L

  • Occupational Therapist
  • Santa Rosa, CA
National Provider Identifier
1659811875
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 9022 Issued in CA
Practice address
2800 Saint Paul Dr Apt 259
Santa Rosa, CA 95405-8512
Phone
(707) 703-7513
NPI assigned
Mar 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 9022 CA Primary
Occupational Therapist 225X00000X OT 14157 FL
Occupational Therapist 225X00000X 006232-1 NY
Occupational Therapist 225X00000X OT.0003713 CO

Addresses

Primary practice location

2800 Saint Paul Dr Apt 259
Santa Rosa, CA 95405-8512

Mailing address

2800 Saint Paul Dr Apt 259
Santa Rosa, CA 95405-8512
Phone (707) 703-7513

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

State licenses

LicenseStateTypeSpecialty
OT 9022CAMDOccupational Therapist
OT.0003713COMDOccupational Therapist
OT 14157FLMDOccupational Therapist
006232-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1659811875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SAINT PAUL DR APT 259",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058512",
            "telephone_number": "707-703-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SAINT PAUL DR APT 259",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058512",
            "telephone_number": "707-703-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJOIE",
        "first_name": "AIMEE",
        "middle_name": "MARIANNE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 9022",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 14157",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006232-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0003713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.