Active NPI
Deborah L. King, OTR/L
- Pediatric Occupational Therapist
- Benicia, CA
National Provider Identifier
1770815599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT2367
- Practice address
- 561 Capitol Dr
Benicia, CA 94510-1309 - Phone
- (707) 748-1435
- Fax
- (707) 748-1435
- NPI assigned
- Feb 3, 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 | OT2367 | CA | Primary |
Addresses
Primary practice location
561 Capitol Dr
Benicia, CA 94510-1309
Mailing address
561 Capitol Dr
Benicia, CA 94510-1309
Phone (707) 748-1435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02032010725407 | Other | CA | NPPES |
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 |
|---|---|---|---|
| OT2367 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1770815599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 CAPITOL DR",
"city": "BENICIA",
"state": "CA",
"postal_code": "945101309",
"telephone_number": "707-748-1435",
"fax_number": "707-748-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 CAPITOL DR",
"city": "BENICIA",
"state": "CA",
"postal_code": "945101309",
"telephone_number": "707-748-1435",
"fax_number": "707-748-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DEBORAH",
"middle_name": "L.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT2367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "02032010725407",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.