Khurshid Dastur-Escalante, OT
Individual provider Active NPI Occupational Therapist · Stevenson Ranch, CA
NPI 1215949375 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215949375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT2305 (CA)
- Practice address
- 25706 Hood Way
Stevenson Ranch, CA 91381-1403 - Phone
- (818) 402-2132
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan'S Rehab, Inc | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2305 | CA | Yes |
Addresses
Primary practice location
25706 Hood Way
Stevenson Ranch, CA 91381-1403
Mailing address
25706 Hood Way
Stevenson Ranch, CA 91381-1403
Phone (818) 402-2132
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT2305 | Other | CA | OCCUPATIONAL THERAPIST |
Other providers in Stevenson Ranch, CA
- Kimberly D Chicagus
- Angela Marie Claffey
- Donna Cohen
- Arianna Contarino
- Joan Louise Daems
- Renato De Guzman
- Leslie Carol De la Flor
- Dentists of Stevenson Ranch, PC
- Ryann Ashley Desser
- Melissa Domeyer
All providers in Stevenson Ranch, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.