Active NPI
Markayla Marie Cozzoli
- Occupational Therapist
- Sacramento, CA
National Provider Identifier
1851870240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24868
- Practice address
- 3416 American River Dr Ste B
Sacramento, CA 95864-5753 - Phone
- (916) 979-0497
- NPI assigned
- Aug 7, 2018
- Last updated
- Apr 10, 2023
- 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 | 24868 | CA | Primary |
Addresses
Primary practice location
3416 American River Dr Ste B
Sacramento, CA 95864-5753
Mailing address
120 W Walnut St
Dixon, CA 95620-3420
Phone (707) 205-7366
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 |
|---|---|---|---|
| 24868 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Occupational Therapy | Current | Accepting new patients | |
| Developmental Occupational Therapy | Past | Accepting new patients |
Locations
3416 American River Dr
Ste B
Sacramento, CA 95864
Phone (916) 979-0497
Organizations & group practices 2
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.
-
- Occupational Therapy Assistant
- Sacramento, CA
- NPI 1467218982
-
- Pediatric Occupational Therapist
- Sacramento, CA
- NPI 1922483122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1851870240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W WALNUT ST",
"city": "DIXON",
"state": "CA",
"postal_code": "956203420",
"telephone_number": "707-205-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 AMERICAN RIVER DR STE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958645753",
"telephone_number": "916-979-0497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZZOLI",
"first_name": "MARKAYLA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2023-04-10",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "24868",
"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 Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.