Individual provider Active NPI

Victoria Rose Loeffler, OTR/L

  • Occupational Therapist
  • Newbury Park, CA
National Provider Identifier
1194431874
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24604 Issued in CA
Practice address
401 Ronel CT
Newbury Park, CA 91320-3664
Phone
(805) 375-9078
NPI assigned
Jan 26, 2023
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0007797 CO
Occupational Therapist 225X00000X 24604 CA Primary

Addresses

Primary practice location

401 Ronel CT
Newbury Park, CA 91320-3664

Mailing address

31560 Agoura Rd Unit 6
Westlake Village, CA 91361-4413
Phone (818) 877-6403

Other practice location 1

10860 Topanga Canyon Blvd
Chatsworth, CA 91311-1350
Phone (818) 700-2971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213003423 WY Practitioner - Occupational Therapist in Private Practice 0143750588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24604CAMDOccupational Therapist
OT.0007797COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William H and Carrie Gottsche Foundation CurrentSince Feb 10, 2025 Accepting new patients
Holistic Pain Management of Wyoming, LLC PastSince Feb 10, 2025 Accepting new patients
Ride on la Occupational Therapist PastSince Oct 5, 2021 Accepting new patients

Locations

1125 Charles Ave
Worland, WY 82401
Phone (307) 347-2449

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1194431874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31560 AGOURA RD UNIT 6",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614413",
            "telephone_number": "818-877-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RONEL CT",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203664",
            "telephone_number": "805-375-9078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10860 Topanga Canyon Blvd",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913111350",
            "country_code": "US",
            "telephone_number": "818-700-2971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEFFLER",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007797",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.