Speckled Frog Pediatric Therapy, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SPECKLED FROG PEDIATRIC THERAPY, INC.

Practice address

643 Main St
Brawley, CA 92227-2547

Phone

(760) 235-9047

NPI assigned

Dec 15, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Elizabeth O'BrienNPI 1962098855

Title

President

Phone

(760) 235-9047

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Elizabeth O'Brien, MOT, OTR/L

  • Occupational Therapist
  • Carlsbad, CA
  • NPI 1962098855
  NPD Authorized official

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1922876218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 EXPOSITION BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643139",
            "telephone_number": "760-235-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272547",
            "telephone_number": "760-235-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECKLED FROG PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-235-9047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Silva
• Mark Simpson, PA-C
• Liliana Siordia-Ramirez, LMFT
• Marc Theodore Soriano
• Savanna Marie Soto
• Star Alliance Medical Group Inc
• STG International
• Ronald C. Stillman, D.D.S.
• Lorenzo H Suarez, MD
• Sunny R Richley MD Corporation

• Occupational Therapist in Brawley, CA
• Providers in Brawley, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.