Individual provider Active NPI

Serena J Saake, OTR/L

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1720686033
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21692 Issued in CA
Practice address
6264 Ferris SQ
San Diego, CA 92121-3204
Phone
(619) 940-4128
NPI assigned
Oct 9, 2020
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 21692 CA Primary

Addresses

Primary practice location

6264 Ferris SQ
San Diego, CA 92121-3204

Mailing address

734 Oak Burl LN
Encinitas, CA 92024-2447
Phone (760) 815-9166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssaake@sandiegooccupationaltherapy.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1720686033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 OAK BURL LN",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242447",
            "telephone_number": "760-815-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 FERRIS SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213204",
            "telephone_number": "619-940-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAKE",
        "first_name": "SERENA",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssaake@sandiegooccupationaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6264 Ferris Sq",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921213204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.