Active NPI
Katie Dahlerbruch
- Pediatric Occupational Therapist
- Hawthorne, CA
National Provider Identifier
1184382020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 11840 S la Cienega Blvd
Hawthorne, CA 90250-3459 - Phone
- (424) 269-3400
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
11840 S la Cienega Blvd
Hawthorne, CA 90250-3459
Mailing address
5452 Manitowac Dr
Rancho Palos Verdes, CA 90275-2327
Other practice location 1
811 N Catalina Ave Ste 1300
Redondo Beach, CA 90277-2190
Phone (310) 673-8412
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa Center, Inc. | Pediatrics | Past | Accepting new patients |
| Playsense Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1184382020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5452 MANITOWAC DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902752327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11840 S LA CIENEGA BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902503459",
"telephone_number": "424-269-3400"
}
],
"practiceLocations": [
{
"address_1": "811 N Catalina Ave Ste 1300",
"address_purpose": "LOCATION",
"city": "Redondo Beach",
"state": "CA",
"postal_code": "902772190",
"country_code": "US",
"telephone_number": "310-673-8412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAHLERBRUCH",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2022-06-20",
"certification_date": "2022-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.