Individual provider Active NPI

Audrey Chen-Ma, OTR/L, CHT

  • Hand Occupational Therapist
  • Arcadia, CA
National Provider Identifier
1245283894
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT 9859 Issued in CA
Practice address
671 W Naomi Ave
Arcadia, CA 91007-7502
Phone
(626) 446-7027
Fax
(626) 446-4723
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT 9859 CA Primary
Occupational Therapist 225X00000X OT 9859 CA

Addresses

Primary practice location

671 W Naomi Ave
Arcadia, CA 91007-7502

Mailing address

671 W Naomi Ave
Arcadia, CA 91007-7502
Phone (626) 446-7027

Other identifiers 1

IdentifierTypeStateIssuer
1245283894OtherCANPI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 9859CAMDOccupational Therapist
9859CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1245283894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 W NAOMI AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077502",
            "telephone_number": "626-446-7027",
            "fax_number": "626-446-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 W NAOMI AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077502",
            "telephone_number": "626-446-7027",
            "fax_number": "626-446-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN-MA",
        "first_name": "AUDREY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 9859",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 9859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245283894",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.