Micaela Rose Elshazly, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14517 Issued in CA

Practice address

11590 W Bernardo CT
Suite 100
San Diego, CA 92127-1624

Phone

(858) 432-4749

Fax

(858) 432-4750

NPI assigned

May 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Micaela Rose King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1255690301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6693 CORTE MARIA",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920095917",
            "telephone_number": "714-330-8417",
            "fax_number": "858-966-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 W BERNARDO CT",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271624",
            "telephone_number": "858-432-4749",
            "fax_number": "858-432-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHAZLY",
        "first_name": "MICAELA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT14517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAELA",
            "last_name": "KING",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "M.S., OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eloise R. Johnston & Associates
• Eloise V. Foster, PH.D.
• Joanna K Elrick
• Reham Elsayed
• Brooke Mehgan Elsberry
• Haley Elshimy
• Harry Donel Elshire III, MD
• Joseph Galal Elsissy, M.D.
• Chad Elsner, MD
• Candy J Elson, LCSW

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.