Active NPI
Kelsey Sena Peterson, OTD, OTR/L
- Neurorehabilitation Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1144913021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 18000
- Practice address
- 1540 Alcazar St Ste 133
Los Angeles, CA 90089-1029 - Phone
- (323) 442-2850
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 18000 | CA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 18000 | CA | Primary |
Addresses
Primary practice location
1540 Alcazar St Ste 133
Los Angeles, CA 90089-1029
Mailing address
1540 Alcazar St Ste 133
Los Angeles, CA 90089-1029
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 |
|---|---|---|---|
| 18000 | CA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1144913021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 ALCAZAR ST STE 133",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 ALCAZAR ST STE 133",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891029",
"telephone_number": "323-442-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "KELSEY",
"middle_name": "SENA",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "18000",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CA",
"license": "18000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.