Alicia Octavio Mahan, M.S. OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8838 Issued in CA

Practice address

7800 Arroyo Cir Ste B
Gilroy, CA 95020-7346

Phone

(877) 910-6538

NPI assigned

Nov 19, 2019

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Sand Coast Rehab Physical Therapy Inc

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  • NPI 1639766603

  Occupational Therapist

  NPD
• Pediatric Pathways Inc

  • Pediatric Occupational Therapist
  • Morgan Hill, CA
  • NPI 1154613495
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1114563715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 APRICOT WAY",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207585",
            "telephone_number": "669-500-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 ARROYO CIR STE B",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207346",
            "telephone_number": "877-910-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Great Oaks Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951191314",
            "country_code": "US",
            "telephone_number": "408-281-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "ALICIA",
        "middle_name": "OCTAVIO",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia J Magana
• Maria C Magana
• Mireya Magana
• Makayla Savanah Magdaleno
• Debra Ann Magness, RPH
• Majd Michael MD Inc
• Estefania Maldonado Aguilar
• Juan Gabriel Maldonado
• Selina F Malik
• Karol Lizbeth Marin Enoki Mallur

• Occupational Therapist in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.