Kari Lynne Phelps, BACHELOR'S

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5652 Issued in CA

Practice address

1525 E Taft Ave
Orange, CA 92865-4601

Phone

(562) 857-8780

NPI assigned

Jun 8, 2021

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

Other names 1

• Kari Lynne Kelterer Former name

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1255908315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908143066",
            "telephone_number": "562-857-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E TAFT AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928654601",
            "telephone_number": "562-857-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "KARI",
        "middle_name": "LYNNE",
        "credential": "BACHELOR'S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "KELTERER",
            "middle_name": "LYNNE",
            "credential": "BACHELOR'S OF SCIENC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vivian T Phan
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• Mia Sofia Phao
• Pharmacy Alternatives California, Inc.
• Jeanie Marie Phelps
• Sara Noemi Phelps, M.D.
• Sydney Jade Phethean
• Nicolas Phielipp, M.D.
• Andrew Phousaleum Philaphandet
• Philip Ryan M Camilon, MD

• Occupational Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.