Dennis Basalo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2681 Issued in CA

Practice address

811 Court St
Jackson, CA 95642-2131

Phone

(415) 218-6644

NPI assigned

Aug 5, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1982918579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 HAMPTON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956878235",
            "telephone_number": "415-218-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 COURT ST",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422131",
            "telephone_number": "415-218-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASALO",
        "first_name": "DENNIS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2681",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Augello
• Amanda Marie Avila
• Maria Carla Krissel Dela Cruz Badiola, MD
• Jacqueline Baker
• Hannah E Banicevich
• Ellen Beegel, M.F.T.
• Alan David Belch, PA-C
• Gladys Bell
• Christina Bianchi, PPS - SCHOOL PSYCHOL
• Christine Anne Bitler, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.