Active NPI
Kristy Li Dai, OTR/L
- Occupational Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1245945559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 8655 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-4891 - Phone
- (909) 989-5699
- NPI assigned
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | CA | Primary |
Addresses
Primary practice location
8655 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-4891
Mailing address
628 Williamson Ave Apt 1027
Fullerton, CA 92832-2174
Phone (510) 862-2858
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": "1674172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1245945559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 WILLIAMSON AVE APT 1027",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322174",
"telephone_number": "510-862-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8655 HAVEN AVE STE 200",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304891",
"telephone_number": "909-989-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAI",
"first_name": "KRISTY",
"middle_name": "LI",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-20",
"last_updated": "2023-01-20",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.