Gold Country Occupational Therapy in Angels Camp, CA - Occupational Therapist

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.

Contact Information

	Gold Country Occupational Therapy
	252 N. Main Street, Angels Camp, CA 95222
	(209) 736-9589
	Not Available

Healthcare Provider's Profile

Full Name	Gold Country Occupational Therapy
Type	Facility
Speciality	Occupational Therapist
Location	252 N. Main Street, Angels Camp, California
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

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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Occupational Therapist in Angels Camp, CA

Susan Mary Lyneis-sirias, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 252 N. Main Street, Angels Camp, CA 95222 Phone: 209-736-9589 Fax: 209-728-8938
Kyrstyn Hildreth, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 646 Stanislaus Ave, Angels Camp, CA 95222 Phone: 209-768-5420
Mrs. Colleen Elise Nunn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 185 S. Main St., Angels Camp, CA 95222 Phone: 209-736-6074

Gold Country Occupational Therapy - Occupational Therapist in Angels Camp, CA