Individual provider Active NPI

Kathleen Liu

  • Occupational Therapist
  • Glendale, CA
National Provider Identifier
1093660466
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
28743 Issued in CA
Practice address
1000 N Central Ave Ste 110
Glendale, CA 91202-3685
Phone
(818) 243-8422
NPI assigned
Mar 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 28743 CA Primary

Addresses

Primary practice location

1000 N Central Ave Ste 110
Glendale, CA 91202-3685

Mailing address

1540 Alcazar St
Los Angeles, CA 90089-0186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317004915 CA Practitioner - Occupational Therapist in Private Practice 0244714319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annette Tamraz Physical Therapy IncGroup PAC ID 2769661586, 7 clinicians

Practice addresses (Care Compare)

1000 N Central Ave
Suite 110
Glendale, CA 91202-3685
Phone (818) 243-8422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28743CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Annette Tamraz Physical Therapy Inc CurrentSince Mar 1, 2026 Accepting new patients

Locations

1000 N Central Ave
Ste 110
Glendale, CA 91202
Phone (818) 243-8422

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1093660466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ALCAZAR ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023685",
            "telephone_number": "818-243-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "28743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.