Individual provider Active NPI

Christine J Triebsch, MS OTR/L

  • Occupational Therapist
  • Menlo Park, CA
National Provider Identifier
1053616151
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11148 Issued in CA
Practice address
20 Willow Rd Apt 2
Menlo Park, CA 94025-3644
Phone
(650) 326-4921
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11148 CA Primary

Addresses

Primary practice location

20 Willow Rd Apt 2
Menlo Park, CA 94025-3644

Mailing address

20 Willow Rd Apt 2
Menlo Park, CA 94025-3644
Phone (650) 326-4921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11148CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1053616151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILLOW RD APT 2",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253644",
            "telephone_number": "650-326-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILLOW RD APT 2",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253644",
            "telephone_number": "650-326-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEBSCH",
        "first_name": "CHRISTINE",
        "middle_name": "J",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.