Tammy Jane Carlin, OT
Individual provider Active NPI Occupational Therapist · Novato, CA
NPI 1972368686 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1972368686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 948 (CA)
- Practice address
- 7100 Redwood Blvd Ste 100
Novato, CA 94945-4110 - Phone
- (415) 895-6704
- Fax
- (415) 895-6238
- NPI assigned
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240404002203 | CA | Practitioner - Occupational Therapist in Private Practice | 1052759487 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 948 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Orthopedics & Spine Inc | Current |
Accepting new patients | |
| California Orthopedics & Spine Inc | Current |
Accepting new patients | |
| Regents Univ of California UCSF | Past |
Accepting new patients |
Locations
18 Bon Air Rd
Larkspur, CA 94939
Phone (415) 927-5300
2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812
7100 Redwood Blvd
Ste 200
Novato, CA 94945
Phone (415) 492-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 948 | CA | Yes |
Addresses
Primary practice location
7100 Redwood Blvd Ste 100
Novato, CA 94945-4110
Mailing address
7100 Redwood Blvd Ste 100
Novato, CA 94945-4110
Phone (415) 895-6704
Other providers in Novato, CA
- Mara Canizzaro
- Amy Grace Canton
- Mariana Caplan
- Cynthia Newton Captain
- Benjamin Arthur Carey
- Carmela Floro Licensed Marriage & Family Therapist a Professional Co
- Robert Peter Carmignani
- Juliet R Carrillo
- Steven Carroll
- Princess Castor
All providers in Novato, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.