Elisa Kim Kwon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1294 Issued in CA

Practice address

10001 Woodcreek Oaks Blvd
#1311
Roseville, CA 95747-5116

Phone

(916) 749-4432

NPI assigned

Mar 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1023289691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 WOODCREEK OAKS BLVD.",
            "address_2": "#1311",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 WOODCREEK OAKS BLVD",
            "address_2": "#1311",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475116",
            "telephone_number": "916-749-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "ELISA",
        "middle_name": "KIM",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "1294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Y. Kuo, MD
• Matthew Kurowski, PA-C
• Rhonda S. Kurtz, MFTREGISTERED INTERN
• Arthur Kwan, DMD
• Lydia Kwarteng
• Anson Hoo Yin Kwong, D.D.S
• Kyi Zin M.D., Inc.
• Charity Ann Kyle
• Hannah Skye La Gabed
• Coby Ann La Mattina-Hawkins, PHARMD

• Occupational Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.