Active NPI
Pollyanna Harlan, MOT, OTR/L
- Pediatric Occupational Therapist
- Woodland, CA
National Provider Identifier
1194967489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 9292
- Practice address
- 96 W Main St
Suite B
Woodland, CA 95695-3016 - Phone
- (530) 668-1010
- NPI assigned
- Apr 1, 2009
- 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 | 9292 | CA | Primary |
Addresses
Primary practice location
96 W Main St
Suite B
Woodland, CA 95695-3016
Mailing address
205 W El Dorado Dr
Woodland, CA 95695-5206
Phone (530) 666-4322
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1194967489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W EL DORADO DR",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956955206",
"telephone_number": "530-666-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 W MAIN ST",
"address_2": "SUITE B",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953016",
"telephone_number": "530-668-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLAN",
"first_name": "POLLYANNA",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "9292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.