OT Specialists

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1888 Issued in CA

Legal business name

OT SPECIALISTS

Practice address

5917 Oak Ave
PMB 121
Temple City, CA 91780-2028

Phone

(626) 287-1723

Fax

(626) 791-4662

NPI assigned

Apr 9, 2010

Organization subpart

No

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

Authorized official

Name

Faith Repke

Title

President

Phone

(626) 287-1723

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1154647592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 OAK AVE",
            "address_2": "PMB 121",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802028",
            "telephone_number": "626-287-1723",
            "fax_number": "626-791-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 OAK AVE",
            "address_2": "PMB 121",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802028",
            "telephone_number": "626-287-1723",
            "fax_number": "626-791-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "REPKE",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-287-1723"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "1888",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "1888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Temple City, CA
• Providers in Temple City, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.