Healthcare Provider Details

I. General information

NPI: 1740595586
Provider Name (Legal Business Name): FOUNDATIONS THERAPY SERVICE, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2010
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 CONTINENTE AVE STE 100
BRENTWOOD CA
94513-7102
US

IV. Provider business mailing address

144 CONTINENTE AVE STE 100
BRENTWOOD CA
94513-7102
US

V. Phone/Fax

Practice location:
  • Phone: 925-513-2440
  • Fax: 925-513-2470
Mailing address:
  • Phone: 925-513-2440
  • Fax: 925-513-2470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIE ANN ZITO
Title or Position: OWNER
Credential: OTR
Phone: 925-513-2440