Delia Betancourt Manale, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA2083 Issued in CA

Practice address

1245 Rio Blanco St
Montebello, CA 90640-2567

Phone

(562) 522-5290

NPI assigned

Nov 1, 2011

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

Other names 1

• Delia Alejandra Betancourt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Golden Heart Nemt Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Montebello, CA
  • NPI 1154132819
  NPD

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1063798239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 RIO BLANCO ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "562-522-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 RIO BLANCO ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402567",
            "telephone_number": "562-522-5290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Rio Blanco St",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "90640",
            "country_code": "US",
            "telephone_number": "562-522-5290",
            "fax_number": "562-522-5290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT MANALE",
        "first_name": "DELIA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA2083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELIA",
            "last_name": "BETANCOURT",
            "middle_name": "ALEJANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Beristain
• Ross Albert Berliner, DPM
• Edwin Anthony Bermudez Barron, PHARM.D.
• Janeece A Berry, RNP
• Bertha a Gonzalez DO, Inc
• Beverly Ambulatory Med-Surg Center, PC
• Beverly Care Medical Group, Inc
• Beverly Community Hospital Association
• Beverly Hospital
• Beverly Hospitalist Group Incorporated

• Occupational Therapy Assistant in Montebello, CA
• Providers in Montebello, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.