Amber Noel Koellner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9477 Issued in CA

Practice address

737 Pearl St
La Jolla, CA 92037-0056

Phone

(858) 456-2114

Fax

(858) 456-2103

NPI assigned

Jan 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1235316548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 KENDALL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094420",
            "telephone_number": "858-456-2114",
            "fax_number": "858-456-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 PEARL ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370056",
            "telephone_number": "858-456-2114",
            "fax_number": "858-456-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELLNER",
        "first_name": "AMBER",
        "middle_name": "NOEL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Klein
• Harry J. Knowles Jr., M.D.
• Alexander Ko, M.D.
• Edward Kocharian, M.D.
• Mohammed Said Kodaimati
• Scott D Koenig, PSY.D.
• Carol Ann Koenigsberger, M.D., PH.D.
• Joshua Koeplin-Day, PA-C
• Collan Lee Koeppen, D.C.
• Diane Kay Koester, RN, NP

• Occupational Therapist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.