CASEY ERIK BOOMER (NPI# 1063613891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063613891 |
| Entity Type | Individual |
| Full Name | CASEY ERIK BOOMER |
| Credential | OTRL |
| Practice Address |
1440 168th Ave San Leandro CA 94578-2409 |
| Mailing Address |
1141 Catalina Dr # 273 Livermore CA 94550-5928 |
| Practice Telephone | 5104818575 |
| Mailing Telephone | 9254472130 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 8035 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1440 168TH AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770657561 | Kaiser Foundation Hospitals | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2006-11-20 |
| 1588186167 | Rita Marie Hess | Registered Nurse | 1440 168th Ave, San Leandro, CA 94578 | 2017-07-14 |
| 1801251210 | Joseph Harrison | Occupational Therapist | 1440 168th Ave, San Leandro, CA 94578-2409 | 2015-12-30 |
| 1316318868 | Phuoc Ngo | Occupational Therapist | 1440 168th Ave, San Leandro, CA 94578-2409 | 2015-10-09 |
| 1255616280 | Kaiser | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2011-10-21 |
| 1326221276 | Angela Tsang | Dietitian, Registered | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-12-14 |
| 1740461433 | Suzan Almeida | Dietitian, Registered | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-11-21 |
| 1487851796 | Sangeetha Mathivanan | Dietitian, Registered | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-06-29 |
| 1164633301 | Carolyn Joyce Douglas | Physical Therapy Assistant | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-05-26 |
| 1588872063 | Alisha Blau Braun | Physical Therapy Assistant | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208639 | Danielle Russo | Occupational Therapist | 15022 Inverness St, San Leandro, CA 94579-1645 | 2020-02-28 |
| 1750626016 | Melanie Tabernero | Occupational Therapist | 14860 Crosby St, San Leandro, CA 94579-1473 | 2012-11-27 |
| 1851635361 | Ophenia Lau | Occupational Therapist | 2370 Belvedere Ave, San Leandro, CA 94577-6548 | 2012-11-21 |
| 1629374145 | Olivia Santos | Occupational Therapist | 14620 Saturn Dr, San Leandro, CA 94578-1345 | 2011-01-31 |
| 1912141599 | Pearl Poon Lee | Occupational Therapist | 204 Accolade Dr, San Leandro, CA 94577-1596 | 2009-04-27 |
| 1821612193 | Joshua Yocum | Occupational Therapist | 15731 Maubert Ave, San Leandro, CA 94578-2014 | 2020-06-02 |
| 1902426133 | Ashley Jovanna Bongiovanni | Occupational Therapist | 14766 Washington Ave, San Leandro, CA 94578-4220 | 2020-04-17 |
| 1316578313 | Bianca Quach | Occupational Therapist | 14766 Washington Ave, San Leandro, CA 94578-4220 | 2020-01-29 |
| 1710453006 | Niki Rounds | Occupational Therapist | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2018-10-15 |
| 1124514690 | Mollie Ito Roark | Occupational Therapist | 2275 Arlington Dr, San Leandro, CA 94578 | 2018-07-07 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.