ROSALIA RAVELO OTR
NPI 1194603191
Occupational Therapist in Stockton, CA

Active since August 26, 2025
582 E HARDING WAY, STOCKTON, CA 95204(888) 530-4415 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rosalia Ravelo Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSALIA RAVELO OTR (NPI 1194603191) is an individual occupational therapist in Stockton, California, licensed in California (27934) and active in the NPI registry since August 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1194603191
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameROSALIA RAVELOCredential: OTR
Location Address582 E HARDING WAYStockton, CA 95204-6110
Mailing Address16131 5th StLathrop, CA 95330-9331 · (209) 743-3520
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1194603191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in CA · 27934
Definition
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.
582 E HARDING WAY, Stockton, CA 95204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosalia Ravelo Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092279695
PECOS Enrollment IDI20260715000357

Medicare Billing Reassignment

Medicare enrollment records show Rosalia Ravelo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
302 NORTHGATE DR
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
582 E HARDING WAY
STOCKTON, CA 95204
Internal Medicine
582 E HARDING WAY
STOCKTON, CA 95204
Social Worker (Clinical)
582 E HARDING WAY
STOCKTON, CA 95204
Social Worker (Clinical)
582 E HARDING WAY
STOCKTON, CA 95204
Dietitian, Registered
582 E HARDING WAY
STOCKTON, CA 95204
General Practice
582 E HARDING WAY
STOCKTON, CA 95204
Physician Assistant
582 E HARDING WAY
STOCKTON, CA 95204
Nurse Practitioner (Family)
582 E HARDING WAY
STOCKTON, CA 95204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosalia Ravelo's NPI number?

The NPI number for Rosalia Ravelo is 1194603191. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Rosalia Ravelo located?

Rosalia Ravelo practices at 582 E Harding Way, Stockton, CA 95204. The listed phone number is (888) 530-4415.

What is Rosalia Ravelo's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Rosalia Ravelo enrolled in Medicare?

Yes. Rosalia Ravelo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rosalia Ravelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosalia Ravelo reassigns Medicare benefits to Golden Valley Health Center (Manteca, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosalia Ravelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rosalia Ravelo was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.