Theresa J O'Hern, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT22836 Issued in CA

Practice address

200 W Santa Ana Blvd
Santa Ana, CA 92701-4134

Phone

(714) 347-0390

NPI assigned

Dec 10, 2012

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1134464654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WAXWING LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562211",
            "telephone_number": "949-395-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SANTA ANA BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014134",
            "telephone_number": "714-347-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HERN",
        "first_name": "THERESA",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT22836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neill Vincent Nyssen, M.S.
• O C Mobile Imaging
• Patricia O'Connell
• Alda M O'Connor, FNP
• Jennifer Lyn O'Herin, PA
• Thomas Eldridge O'Leary Jr.
• Elizabeth O'Malley, LMFT
• Sean O'Malley
• Dadhri Louise O'Neal, LMFT
• Luanne B O'Neil, RRW

• Pediatric Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.