Individual provider Active NPI

Micayla Kenzie McGinn, MOT, OTR/L

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1093135105
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14228 Issued in CA
Practice address
7907 Ostrow St
Suite D
San Diego, CA 92111-3635
Phone
(858) 565-6910
Fax
(858) 565-6911
NPI assigned
Apr 16, 2014
Last updated
Apr 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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 14228 CA Primary

Addresses

Primary practice location

7907 Ostrow St
Suite D
San Diego, CA 92111-3635

Mailing address

7907 Ostrow St
Suite D
San Diego, CA 92111-3635
Phone (858) 565-6910

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

State licenses

LicenseStateTypeSpecialty
14228CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Speech Therapy Center Past Accepting new patients
PT in Motion Occupational Therapist PastSince Jun 11, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1093135105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 OSTROW ST",
            "address_2": "SUITE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113635",
            "telephone_number": "858-565-6910",
            "fax_number": "858-565-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7907 OSTROW ST",
            "address_2": "SUITE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113635",
            "telephone_number": "858-565-6910",
            "fax_number": "858-565-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINN",
        "first_name": "MICAYLA",
        "middle_name": "KENZIE",
        "name_prefix": "Ms.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 2014; 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.