Active NPI
Heart and Soul Therapy, LLC
- Occupational Therapist
- Castro Valley, CA
National Provider Identifier
1861898587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12527
- Legal business name
- HEART AND SOUL THERAPY, LLC
- Practice address
- 21100 Gary Dr
121
Castro Valley, CA 94546-6138 - Phone
- (510) 397-9826
- NPI assigned
- Nov 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Moses, OTR/L
- Title
- Occupational Therapist
- Phone
- (510) 334-8531
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12527 | CA | Primary |
| Occupational Therapist | 225X00000X | 11230 | CA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 12527 | CA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 11230 | ||
| Pediatric Occupational Therapist | 225XP0200X | 12527 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | 11230 | CA |
Addresses
Primary practice location
21100 Gary Dr
121
Castro Valley, CA 94546-6138
Mailing address
PO Box 8770
Emeryville, CA 94662-0770
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415232000000",
"number": "1861898587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8770",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946620770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21100 GARY DR",
"address_2": "121",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945466138",
"telephone_number": "510-397-9826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART AND SOUL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "510-334-8531",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12527",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "11230",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "12527",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": "11230",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "12527",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "11230",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.