Individual provider Active NPI

Alyssa Kopp

  • Occupational Therapist
  • Santa Rosa, CA
National Provider Identifier
1922755305
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26415 Issued in CA
Practice address
320 Tesconi Cir Ste G
Santa Rosa, CA 95401-4611
Phone
(707) 544-2637
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 26415 CA Primary

Addresses

Primary practice location

320 Tesconi Cir Ste G
Santa Rosa, CA 95401-4611

Mailing address

320 Tesconi Cir Ste G
Santa Rosa, CA 95401-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607003179 CA Practitioner - Occupational Therapist in Private Practice 3072900604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

320 Tesconi Cir
Suite G
Santa Rosa, CA 95401-4611
Phone (707) 544-2647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Occupational Therapist Current Accepting new patients
Select Cal Physical Therapy PC CurrentSince May 7, 2024 Accepting new patients
Select Cal Physical Therapy PC Occupational Therapist CurrentSince May 7, 2024 Accepting new patients

Locations

2420 Martin Rd
Ste 380
Fairfield, CA 94534
Phone (707) 437-9001

1331 Medical Center Dr
Ste A
Rohnert Park, CA 94928
Phone (707) 584-3433

320 Tesconi Cir
Ste G
Santa Rosa, CA 95401
Phone (707) 544-2637

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1922755305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TESCONI CIR STE G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 TESCONI CIR STE G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014611",
            "telephone_number": "707-544-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.