Active NPI
Kathryn Regan
- Pediatric Occupational Therapist
- San Diego, CA
National Provider Identifier
1194167114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT-13453
- Practice address
- 11252 Almazon St
San Diego, CA 92129-1030 - Phone
- (808) 729-1275
- NPI assigned
- Jul 18, 2013
- Last updated
- May 20, 2024
- 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 | OT-13453 | CA | Primary |
Addresses
Primary practice location
11252 Almazon St
San Diego, CA 92129-1030
Mailing address
8933 Activity Rd
San Diego, CA 92126-4427
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 |
|---|---|---|---|
| OT-13453 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1194167114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8933 ACTIVITY RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11252 ALMAZON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921291030",
"telephone_number": "808-729-1275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT-13453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Rhonda Regalado, HEALTH COACH
- Laura Regalbuto, LCSW
- Susan Caprice Regalia, CAADAC
- Christine Regan
- Julie Rose Regan, M.S.
- Regency Eye Care, Inc.
- Regency Eye Care, Inc.
- Regency Eye Care, Inc.
- Regents of the University of Ca-Ucsd Ambulatory Care Pharmacy (Ucsd Medical Group Pharmacy)
- Regents of the University of Califorina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.