Individual provider Active NPI

Rebecca O'Callaghan, M.S., OTR/L, SWC

  • Pediatric Occupational Therapist
  • Sacramento, CA
National Provider Identifier
1720392434
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT7936 Issued in CA
Practice address
6768 9TH Ave
Sacramento, CA 95820-2106
Phone
(916) 834-4379
NPI assigned
Aug 5, 2010
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT7936 CA Primary

Addresses

Primary practice location

6768 9TH Ave
Sacramento, CA 95820-2106

Mailing address

8795 Folsom Blvd Ste 107
Sacramento, CA 95826-3720
Phone (916) 834-4379

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

LicenseStateTypeSpecialty
OT7936CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Play2Grow Pediatric Therapy, Inc. Pediatrics Current Accepting new patients

Locations

5714 Folsom Blvd
#2
Sacramento, CA 95819

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1720392434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8795 FOLSOM BLVD STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263720",
            "telephone_number": "916-834-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6768 9TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202106",
            "telephone_number": "916-834-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CALLAGHAN",
        "first_name": "REBECCA",
        "credential": "M.S., OTR/L, SWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT7936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

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

Verify at the official NPI Registry.