Active NPI
Charlitte Michelle McKamy, OTA
- Occupational Therapy Assistant
- San Diego, CA
National Provider Identifier
1205558830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6152
- Practice address
- 13101 Hartfield Ave
San Diego, CA 92130-1511 - Phone
- (858) 204-9091
- NPI assigned
- Sep 12, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 6152 | CA | Primary |
Addresses
Primary practice location
13101 Hartfield Ave
San Diego, CA 92130-1511
Mailing address
2600 Compass Rd
Glenview, IL 60026-8001
Phone (877) 787-3422
Other practice location 1
11760 Carmel Creek Rd Apt 107F
San Diego, CA 92130-6612
Phone (858) 204-9091
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | efax | Other | Select Rehabilitation Inc |
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 |
|---|---|---|---|
| 6152 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1205558830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 COMPASS RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600268001",
"telephone_number": "877-787-3422",
"fax_number": "847-441-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13101 HARTFIELD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921301511",
"telephone_number": "858-204-9091"
}
],
"practiceLocations": [
{
"address_1": "11760 Carmel Creek Rd Apt 107F",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921306612",
"country_code": "US",
"telephone_number": "858-204-9091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKAMY",
"first_name": "CHARLITTE",
"middle_name": "MICHELLE",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "6152",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "efax",
"affiliation": "Y",
"affiliationName": "Select Rehabilitation Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "efax",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13101 Hartfield Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921301511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.