Proficio Therapy Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PROFICIO THERAPY SERVICES, LLC

Practice address

1261 Travis Blvd Ste 200
Fairfield, CA 94533-4800

Phone

(707) 344-1771

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Sekhar Radhakrishnan

Title

President

Phone

(707) 344-1771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1972321321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD STE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD STE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334800",
            "telephone_number": "707-344-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFICIO THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "RADHAKRISHNAN",
        "authorized_official_first_name": "SEKHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-344-1771"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georthandra Kenleen Pringle, LCSW
• Priority Care
• Private Healthcare Facilities
• Dena Lee Proctor, RN
• Proficio Speech Therapy Group, Inc.
• Prosperian Group Inc
• Psychological Solutions & Assessment Apc
• Manuel Puebla
• Bianca Parco Pugeda
• Alicia Y Pugh, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.