Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Casey Erik Boomer, OTRL

Individual provider Occupational Therapist · NPI 1063613891

Casey Erik Boomer, OTRL is an Occupational Therapist in San Leandro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1440 168th Ave
San Leandro, CA 94578-2409
Phone: (510) 481-8575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 8035 (CA)

Record details

NPI number1063613891
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRL
Sole proprietorYes
NPI enumeratedMay 30, 2007
Last updated in NPPESJuly 8, 2007

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