Active NPI
Rebecca Oconnor, MS
- Pediatric Occupational Therapist
- Roseville, CA
National Provider Identifier
1699023614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 12718
- Practice address
- 151 N Sunrise Ave
Suite 1105
Roseville, CA 95661-2924 - Phone
- (916) 771-8255
- Fax
- (916) 771-8211
- NPI assigned
- Aug 23, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 12718 | CA | Primary |
Addresses
Primary practice location
151 N Sunrise Ave
Suite 1105
Roseville, CA 95661-2924
Mailing address
151 N Sunrise Ave
Suite 1105
Roseville, CA 95661-2924
Phone (916) 771-8255
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 12718 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1699023614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 N SUNRISE AVE",
"address_2": "SUITE 1105",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612924",
"telephone_number": "916-771-8255",
"fax_number": "916-771-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N SUNRISE AVE",
"address_2": "SUITE 1105",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612924",
"telephone_number": "916-771-8255",
"fax_number": "916-771-8211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "REBECCA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-23",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT 12718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.