Active NPI
Constance Jie Lew, OTD
- Occupational Therapist
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 100 N Barranca St Ste 380
West Covina, CA 91791-1652 - Phone
- (626) 331-8355
- Fax
- (626) 331-8165
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
100 N Barranca St Ste 380
West Covina, CA 91791-1652
Mailing address
1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Phone (909) 890-9030
Other practice location 1
10470 Foothill Blvd Ste 101
Rancho Cucamonga, CA 91730-3754
Phone (909) 948-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023738564 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1845 Business Ctr Dr
Suite 127
San Bernardino, CA 92408
18805 Ashley PL
Rowland Heights, CA 91748-4870
2600 Dallas Pkwy
Suite 290
Frisco, TX 75034-7486
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Therapy Network Incorporated | Occupational Therapist | Current | Accepting new patients |
| United Therapy Network Incorporated | Occupational Therapist | Current | Accepting new patients |
| United Therapy Network Incorporated | Occupational Therapist | Current | Accepting new patients |
Locations
802 Magnolia Ave
Ste 107
Corona, CA 92879
Phone (951) 340-0070
1902 Royalty Dr
Ste 220
Pomona, CA 91767
Phone (909) 570-3108
10470 Foothill Blvd
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 948-0411
1845 Business Center Dr
Ste 127
Sn Bernrdno, CA 92408
Phone (909) 890-9030
100 N Barranca St
Ste 380
West Covina, CA 91791
Phone (626) 331-8355
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Solana Beach, CA
- NPI 1083038764
-
- Physical Therapist
- Riverside, CA
- NPI 1629693619
Occupational Therapist
-
- Physical Therapist
- Corona, CA
- NPI 1669691051
Occupational Therapist
-
- Physical Therapist
- Rancho Cucamonga, CA
- NPI 1982859021
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1023738564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 BUSINESS CENTER DR STE 127",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083434",
"telephone_number": "909-890-9030",
"fax_number": "909-890-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BARRANCA ST STE 380",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911652",
"telephone_number": "626-331-8355",
"fax_number": "626-331-8165"
}
],
"practiceLocations": [
{
"address_1": "10470 Foothill Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917303754",
"country_code": "US",
"telephone_number": "909-948-0411",
"fax_number": "909-890-4393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEW",
"first_name": "CONSTANCE",
"middle_name": "JIE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023738564",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.