Shaunna Kotka, OTD, OTR/L, CLT-LANA

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

28299 Issued in CA

Practice address

13160 Mindanao Way Ste 211
Marina del Rey, CA 90292-7942

Phone

(310) 882-0177

Fax

(844) 688-0141

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Open Grounds Inc.

  • Physical Rehabilitation Occupational Therapist
  • Marina del Rey, CA
  • NPI 1588539365

  Mental Health

  Medicare reassignment NPD Authorized official
• Exodus Recovery, Inc.

  • Community/Behavioral Health Agency
  • Orange, CA
  • NPI 1326641671
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1043038847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 211",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927942",
            "telephone_number": "310-437-0932",
            "fax_number": "844-688-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 211",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927942",
            "telephone_number": "310-882-0177",
            "fax_number": "844-688-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 S Pacific Coast Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902777036",
            "country_code": "US",
            "telephone_number": "310-882-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTKA",
        "first_name": "SHAUNNA",
        "credential": "OTD, OTR/L, CLT-LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "28299",
            "primary": true
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CA",
            "license": "28299",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "28299",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Konviser Dental Professional Corporation
• Konviser Dental Professional Corporation
• Myriam Liberty Koppelmann
• Jeremy E Korman, M.D.
• Priyanka Sharma Kosaraju
• Kathryn Kreicher, MD
• Terry David Krekorian, M.D.
• Steven Michael Krems, MD
• Pooja Krishnaswamy, DDS
• Chase Krivashei, PA

• Physical Rehabilitation Occupational Therapist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Physical Rehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.

Verify at the official NPI Registry.