CHARLOTTE SALLY OTR/L
NPI 1518528488
Occupational Therapist in Santa Rosa, CA

Active since June 21, 2019
3751 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 525-1250 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2021, Jun 21, 2019 (2 updates tracked since 2019).

About Charlotte Sally Otr/l NPPES

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

CHARLOTTE SALLY OTR/L (NPI 1518528488) is an individual occupational therapist in Santa Rosa, California, licensed in California (17633) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1518528488
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCHARLOTTE SALLYCredential: OTR/L
Location Address3751 MONTGOMERY DRSanta Rosa, CA 95405-5214
Mailing Address1037 Golf Course DrRohnert Park, CA 94928-1837 · (707) 246-2639
Sole ProprietorNo
Enumeration DateJune 21, 2019
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
✔ NPI 1518528488 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 · 17633
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.
3751 MONTGOMERY DR, Santa Rosa, CA 95405

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlotte Sally Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 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 8

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

Occupational Therapist
3751 MONTGOMERY DR
SANTA ROSA, CA 95405
Skilled Nursing Facility
3751 MONTGOMERY DR
SANTA ROSA, CA 95405
Internal Medicine
3751 MONTGOMERY DR
SANTA ROSA, CA 95405
Internal Medicine
3751 MONTGOMERY DR
SANTA ROSA, CA 95405
Occupational Therapy Assistant (Feeding, Eating & Swallowing)
3751 MONTGOMERY DR
SANTA ROSA, CA 95405
Physical Therapist
3751 MONTGOMERY DR
SANTA ROSA, CA 95405
Internal Medicine
3751 MONTGOMERY DR
SANTA ROSA, CA 95405
Internal Medicine
3751 MONTGOMERY DR
SANTA ROSA, CA 95405

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 Charlotte Sally's NPI number?

The NPI number for Charlotte Sally is 1518528488. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Charlotte Sally located?

Charlotte Sally practices at 3751 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 525-1250.

What is Charlotte Sally's specialty?

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

Is Charlotte Sally enrolled in Medicare?

Yes. Charlotte Sally is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charlotte Sally's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Sally reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Charlotte Sally'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 Charlotte Sally was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.