Organization Active NPI

Irvine Therapy Services, Inc.

  • Pediatric Occupational Therapist
  • Irvine, CA
National Provider Identifier
1003932781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
IRVINE THERAPY SERVICES, INC.
Practice address
16631 Noyes Ave
Irvine, CA 92606-5138
Phone
(949) 252-9946
Fax
(949) 559-4366
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Priya Mohan, MA OTR LNPI 1144487125
Title
President
Phone
(949) 252-9946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X CA Primary

Addresses

Primary practice location

16631 Noyes Ave
Irvine, CA 92606-5138

Mailing address

16631 Noyes Ave
Irvine, CA 92606-5138
Phone (949) 252-9946

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ 06841 ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

16631 Noyes Ave
Irvine, CA 92606
Phone (949) 252-9946

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003932781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16631 NOYES AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065138",
            "telephone_number": "949-252-9946",
            "fax_number": "949-559-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16631 NOYES AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065138",
            "telephone_number": "949-252-9946",
            "fax_number": "949-559-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-252-9946",
        "authorized_official_credential": "MA OTR L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ 06841 Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.