Active NPI
Larissa Geleris, M.S., OTR/L
- Specialist
- Lafayette, CA
National Provider Identifier
1659828606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16480
- Practice address
- 3400 Mt Diablo Blvd
Suite 200
Lafayette, CA 94549-3956 - Phone
- (925) 954-4546
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16480 | CA | Primary |
Addresses
Primary practice location
3400 Mt Diablo Blvd
Suite 200
Lafayette, CA 94549-3956
Mailing address
1113 Roxie LN
Walnut Creek, CA 94597-1806
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child'S Play Therapy Services, PC | Specialist | 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": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1659828606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 ROXIE LN",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945971806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 MT DIABLO BLVD",
"address_2": "SUITE 200",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493956",
"telephone_number": "925-954-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELERIS",
"first_name": "LARISSA",
"credential": "M.S., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "16480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.