Organization Active NPI

Little Roots Occupational Therapy

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1982392676
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LITTLE ROOTS OCCUPATIONAL THERAPY
Practice address
4745 Cape May Ave
San Diego, CA 92107-2225
Phone
(480) 244-6058
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Carmen Smith, OTDNPI 1861975419
Title
Occupational Therapist, Ceo
Phone
(480) 244-6058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

4745 Cape May Ave
San Diego, CA 92107-2225

Mailing address

4745 Cape May Ave
San Diego, CA 92107-2225
Phone (480) 244-6058

Other names 1

  • Little Roots Occupational Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1982392676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 CAPE MAY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072225",
            "telephone_number": "480-244-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 CAPE MAY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072225",
            "telephone_number": "480-244-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROOTS OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, CEO",
        "authorized_official_telephone_number": "480-244-6058",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Roots Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.