Michael Antonino, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA3735 Issued in CA

Practice address

5555 N Fresno St
Fresno, CA 93710-6006

Phone

(559) 579-2545

NPI assigned

Jan 13, 2017

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1134665151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 N FLORA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106327",
            "telephone_number": "559-579-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106006",
            "telephone_number": "559-579-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONINO",
        "first_name": "MICHAEL",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antioch Substance Abuse Programs
• Antionette Brookins & Associates , Corp
• Austin Jeffery Antiporda
• Shakoyia S Antoine
• Gary T Antone, M.P.T., A.T.C.
• Antonio D Relucio Jr DDS
• Antonio Villalvazo M.D. Inc
• Marc C Antonio
• Victor Antonio
• Antonis Antoniou, MD

• Occupational Therapy Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.