Healthcare Provider Details

I. General information

NPI: 1235040817
Provider Name (Legal Business Name): SHERI THORPE COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 CRANLEIGH AVE
SACRAMENTO CA
95823-7722
US

IV. Provider business mailing address

4425 G ST
SACRAMENTO CA
95819-3139
US

V. Phone/Fax

Practice location:
  • Phone: 916-688-8586
  • Fax:
Mailing address:
  • Phone: 916-346-9352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number4438
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: