Active NPI
Alissa Brennan
- Occupational Therapist
- Torrance, CA
National Provider Identifier
1114589934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT22020
- Practice address
- 3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812 - Phone
- (310) 371-8555
- NPI assigned
- Jul 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-007835 | AZ | |
| Occupational Therapist | 225X00000X | OT22020 | CA | Primary |
Addresses
Primary practice location
3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812
Mailing address
607 S Prospect Ave Unit 204
Redondo Beach, CA 90277-4412
Other practice location 1
5040 E Shea Blvd
Scottsdale, AZ 85254-4600
Phone (480) 483-1025
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-007835 | AZ | MD | Occupational Therapist |
| OT22020 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids in Motion Physical Therapy, Inc | Current | Accepting new patients | |
| Kids in Motion Pediatric Therapy | Current | Accepting new patients |
Locations
3460 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 371-8555
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 and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Torrance, CA
- NPI 1922471358
-
- Pediatric Physical Therapist
- Torrance, CA
- NPI 1033356597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1114589934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 S PROSPECT AVE UNIT 204",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 TORRANCE BLVD STE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035812",
"telephone_number": "310-371-8555"
}
],
"practiceLocations": [
{
"address_1": "5040 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852544600",
"country_code": "US",
"telephone_number": "480-483-1025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENNAN",
"first_name": "ALISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-007835",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT22020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.