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

Individual provider Occupational Therapist · NPI 1548712011

Jeff Dimengo, OTR/L is an Occupational Therapist in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2425 Geary Blvd
San Francisco, CA 94115-3358
Phone: (415) 833-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 12507 (CA)

Record details

NPI number1548712011
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 31, 2016
Last updated in NPPESJune 13, 2019

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