Paula R Defelice, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 2896 Issued in CA

Practice address

VA--2505 W. 14TH St., BLDG. 762
Oakland Army Base
Oakland, CA 94607

Phone

(510) 587-3435

NPI assigned

Feb 17, 2006

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

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1699749317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 W 14TH ST # 762",
            "address_2": "OAKLAND ARMY BASE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946075031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA--2505 W. 14TH ST., BLDG. 762",
            "address_2": "OAKLAND ARMY BASE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-587-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "PAULA",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 2896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Francisco Tinajero Deck
• Kimi Decoito
• Elizabeth Decou
• Alanna D Deely, PT
• Patricia Deery, MFT
• Richard Louis Degette Jr., MFT
• Desiree Ihilani Deginder
• Lecille Gomez Deguia, D.P.T.
• Daryl Deguzman, BSN, RN, PHN
• Erica Deguzman, PTA

• Occupational Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.