Individual provider Active NPI

Sara Tchobanoff, OTR

  • Hand Occupational Therapist
  • Roseville, CA
National Provider Identifier
1871577908
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
7998 Issued in CA
Practice address
2600 Eureka Rd
Roseville, CA 95661-6448
Phone
(916) 782-2761
Fax
(916) 751-2430
NPI assigned
Dec 1, 2005
Last updated
Mar 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 7998 CA Primary

Addresses

Primary practice location

2600 Eureka Rd
Roseville, CA 95661-6448

Mailing address

2600 Eureka Rd
Roseville, CA 95661-6448
Phone (916) 782-2761

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7998CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1871577908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 EUREKA RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616448",
            "telephone_number": "916-782-2761",
            "fax_number": "916-751-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 EUREKA RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616448",
            "telephone_number": "916-782-2761",
            "fax_number": "916-751-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHOBANOFF",
        "first_name": "SARA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "7998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.