Casey Boomer, OTRL
NPI 1063613891 · Occupational Therapist · San Leandro, CA
Casey Boomer, OTRL is a Occupational Therapist provider in San Leandro, CA (NPI 1063613891).
Provider details
- NPI number
- 1063613891
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTRL
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8035 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Casey Boomer's NPI number?
- Casey Boomer's National Provider Identifier (NPI) is 1063613891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Casey Boomer's specialty?
- Casey Boomer is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Casey Boomer located?
- Casey Boomer's practice location on file with NPPES is 1440 168th Ave, San Leandro, CA 94578-2409.
- What is Casey Boomer's phone number?
- The practice phone number listed in the NPPES registry for Casey Boomer is (510) 481-8575.
- Is Casey Boomer's NPI active?
- Yes — Casey Boomer's NPI (1063613891) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.