Be Well Occupational Therapy a Professional Corp

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14800 Issued in CA

Legal business name

BE WELL OCCUPATIONAL THERAPY A PROFESSIONAL CORP

Practice address

1329 E Thousand Oaks Blvd
Suite 128
Thousand Oaks, CA 91362-2824

Phone

(805) 494-8430

Fax

(805) 494-8385

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Elise Leizerovich, OTRL

Title

President

Phone

(805) 558-9898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1144610635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 128",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622824",
            "telephone_number": "805-494-8430",
            "fax_number": "805-494-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 128",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622824",
            "telephone_number": "805-494-8430",
            "fax_number": "805-494-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL OCCUPATIONAL THERAPY A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "LEIZEROVICH",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-558-9898",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT14800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS BUSINESS NAME PERMIT",
            "identifier": "899483",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.