Individual provider Active NPI

Maria Ioannis Giannopoulos, COTA/L, B.S

  • Occupational Therapy Assistant
  • Poway, CA
National Provider Identifier
1124753512
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5271 Issued in CA
Practice address
15632 Pomerado Rd
Poway, CA 92064-2406
Phone
(858) 485-5153
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5271 CA Primary

Addresses

Primary practice location

15632 Pomerado Rd
Poway, CA 92064-2406

Mailing address

2368 Corte Viejo Unit 69
Chula Vista, CA 91914-5001
Phone (773) 875-7026

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1124753512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 CORTE VIEJO UNIT 69",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919145001",
            "telephone_number": "773-875-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15632 POMERADO RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642406",
            "telephone_number": "858-485-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOPOULOS",
        "first_name": "MARIA",
        "middle_name": "IOANNIS",
        "name_prefix": "Ms.",
        "credential": "COTA/L, B.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "5271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.