Active NPI
Julie Ruth Feyrer, OCCUPATIONAL THERAPI
- Pediatric Occupational Therapist
- Davis, CA
National Provider Identifier
1720302409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT5028
- Practice address
- 3900 Pomo PL
Davis, CA 95618-5083 - Phone
- (530) 219-0180
- NPI assigned
- Mar 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | OT5028 | CA | Primary |
Addresses
Primary practice location
3900 Pomo PL
Davis, CA 95618-5083
Mailing address
3900 Pomo PL
Davis, CA 95618-5083
Phone (530) 219-0180
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 |
|---|---|---|---|
| OT5028 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1720302409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 POMO PL",
"city": "DAVIS",
"state": "CA",
"postal_code": "956185083",
"telephone_number": "530-219-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 POMO PL",
"city": "DAVIS",
"state": "CA",
"postal_code": "956185083",
"telephone_number": "530-219-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEYRER",
"first_name": "JULIE",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT5028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.