Gold Country Occupational Therapy is a
Occupational Therapist based in Angels Camp, California. Gold Country Occupational Therapy is licensed to practice in California (license number OT5244) and their current practice location is
252 N. Main Street, Angels Camp, California. It can be reached at their office (for appointments etc.) via phone at
(209) 736-9589.
NPI number for Gold Country Occupational Therapy is 1649574807 and their current mailing address is Po Box 278, Angels Camp, California. Gold Country Occupational Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1649574807.
Healthcare Provider's Profile
| Full Name | Gold Country Occupational Therapy |
|---|
| Type | Facility |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 252 N. Main Street, Angels Camp, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649574807
- Provider Enumeration Date: 01/03/2011
- Last Update Date: 01/21/2011
Medical Identifiers
Medical identifiers for Gold Country Occupational Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649574807 | NPI | - | NPPES |
| ZZZ033712 | Other | CA | MEDICARE ID, UNSPECIFIED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT5244 (California) | Primary |
| 225X00000X | Occupational Therapist | OT 681 (California) | Secondary |
| 225XE1200X | Occupational Therapist - Ergonomics | OT 681 (California) | Secondary |
| 225XF0002X | Occupational Therapist - Feeding, Eating & Swallowing | OT5244 (California) | Secondary |
| 225XG0600X | Occupational Therapist - Gerontology | OT 681 (California) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | OT 681 (California) | Secondary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | OT5244 (California) | Secondary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT5244 (California) | Secondary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT 681 (California) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | OT5244 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gold Country Occupational Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gold Country Occupational Therapy
Po Box 278,
Angels Camp, CA 95222-0278
Ph: (209) 743-7211 | Gold Country Occupational Therapy
252 N. Main Street,
Angels Camp, CA 95222
Ph: (209) 736-9589 |
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