Wanda G Shiotsuka, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT 5422 Issued in CA

Practice address

10565 Brunswick Road
Grass Valley, CA 95945-9053

Phone

(530) 273-4152

Fax

(530) 273-4153

NPI assigned

Dec 14, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Golden State Physical Therapy Inc

  dba Sanderson Physical Therapy

  • Hand Occupational Therapist
  • Grass Valley, CA
  • NPI 1114909629
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780669523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95161",
            "telephone_number": "877-325-2776",
            "fax_number": "408-945-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 BRUNSWICK ROAD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459053",
            "telephone_number": "530-273-4152",
            "fax_number": "530-273-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIOTSUKA",
        "first_name": "WANDA",
        "middle_name": "G",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 5422",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 5422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Diane Sheridan, DDS
• Valerie Christina Sherman III
• Dwijesh S Sheth, MD
• Diana Shevchenko
• Abigail Shinn, LM
• Alyssa Shipley
• Nathan Michael Shook
• Crystal Short
• Manpreet Singh Sidhu
• Sierra Ambulatory Surgery Center

• Hand Occupational Therapist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.