NPIMap

Organization Active NPI

San Diego Occupational Therapy, Inc

  • Specialist
  • San Diego, CA
National Provider Identifier
1104260249
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT1076 Issued in CA
Legal business name
SAN DIEGO OCCUPATIONAL THERAPY, INC
Practice address
3978 Sorrento Valley Blvd Ste 110
San Diego, CA 92121-1436
Phone
(760) 814-5096
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. Stephanie Drummond, OTD, OTR/L
Title
Occupational Therapist
Phone
(760) 814-5096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X OT1076 CA Primary

Addresses

Primary practice location

3978 Sorrento Valley Blvd Ste 110
San Diego, CA 92121-1436

Mailing address

7929 Paseo Membrillo
Carlsbad, CA 92009-6972
Phone (760) 814-5096

National Provider Directory

National Provider Directory
Tax ID family
San Diego Occupational Therapi Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3978 Sorrento Valley Blvd
Ste 110
San Diego, CA 92121
Phone (619) 940-4128

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1104260249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 PASEO MEMBRILLO",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920096972",
            "telephone_number": "760-814-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3978 SORRENTO VALLEY BLVD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211436",
            "telephone_number": "760-814-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO OCCUPATIONAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "760-814-5096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT1076",
            "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 19, 2013; 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.