Mage Tatevosyan, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

16223 Issued in CA

Practice address

140 Town and Country Dr
Danville, CA 94526-3893

Phone

(925) 743-8905

NPI assigned

May 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maggie Tatevosyan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1043069131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 HIBISCUS WAY",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511313",
            "telephone_number": "818-445-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TOWN AND COUNTRY DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263893",
            "telephone_number": "925-743-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATEVOSYAN",
        "first_name": "MAGE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "16223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "TATEVOSYAN",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Hand Occupational Therapist in Danville, CA
• Providers in Danville, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.