Active NPI
Holly Kaulius
- Occupational Therapist
- Carmichael, CA
National Provider Identifier
1821598236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC015550
- Practice address
- 3900 Garfield Ave
Carmichael, CA 95608-6647 - Phone
- (610) 991-2034
- NPI assigned
- Feb 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC015550 | PA | Primary |
Addresses
Primary practice location
3900 Garfield Ave
Carmichael, CA 95608-6647
Mailing address
715 17TH St Apt 4
Sacramento, CA 95811-2036
Phone (610) 905-8034
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 |
|---|---|---|---|
| OC015550 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1821598236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 17TH ST APT 4",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958112036",
"telephone_number": "610-905-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 GARFIELD AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086647",
"telephone_number": "610-991-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAULIUS",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-13",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC015550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.