Active NPI
Kristina Pickering, COTA/L
- Occupational Therapy Assistant
- Rescue, CA
National Provider Identifier
1689247520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5691
- Practice address
- 3498 Green Valley Rd
Rescue, CA 95672-9625 - Phone
- (530) 391-8670
- NPI assigned
- Jul 19, 2021
- Last updated
- Jul 24, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5691 | CA | Primary |
Addresses
Primary practice location
3498 Green Valley Rd
Rescue, CA 95672-9625
Mailing address
1012 Potrero Cir
Suisun City, CA 94585-4139
Phone (916) 600-2131
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5691 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627084800000",
"number": "1689247520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 POTRERO CIR",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "945854139",
"telephone_number": "916-600-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3498 GREEN VALLEY RD",
"city": "RESCUE",
"state": "CA",
"postal_code": "956729625",
"telephone_number": "530-391-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "KRISTINA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-24",
"certification_date": "2021-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "5691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rescue, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.