Active NPI
Abigail D Timbol, OTR/L
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1073853537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12724
- Practice address
- 4647 Zion Ave
San Diego, CA 92120-2507 - Phone
- (619) 528-5000
- NPI assigned
- Feb 20, 2013
- 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 | 12724 | CA | Primary |
Addresses
Primary practice location
4647 Zion Ave
San Diego, CA 92120-2507
Mailing address
10724 Penara St
San Diego, CA 92126-5930
Phone (858) 361-0653
Other names 1
- Abigail Duya
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12724 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1073853537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10724 PENARA ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921265930",
"telephone_number": "858-361-0653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 ZION AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202507",
"telephone_number": "619-528-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBOL",
"first_name": "ABIGAIL",
"middle_name": "D",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-20",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "DUYA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.