Individual provider Active NPI

Susan H. Kornreich, O.T.R.L, C.H.T.

  • Hand Occupational Therapist
  • Santa Ana, CA
National Provider Identifier
1265639165
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT 2113 Issued in CA
Practice address
1001 North Tustin Ave
Western Medical Center
Santa Ana, CA 92701
Phone
(714) 953-3605
Fax
(714) 953-3442
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 2113 CA
Hand Occupational Therapist 225XH1200X OT 2113 CA Primary

Addresses

Primary practice location

1001 North Tustin Ave
Western Medical Center
Santa Ana, CA 92701

Mailing address

1001 North Tustin Ave
Western Medical Center
Santa Ana, CA 92701
Phone (714) 953-3605

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

State licenses

LicenseStateTypeSpecialty
OT 2113CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1265639165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NORTH TUSTIN AVE",
            "address_2": "WESTERN MEDICAL CENTER",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-953-3605",
            "fax_number": "714-953-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NORTH TUSTIN AVE",
            "address_2": "WESTERN MEDICAL CENTER",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-953-3605",
            "fax_number": "714-953-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNREICH",
        "first_name": "SUSAN",
        "middle_name": "H.",
        "credential": "O.T.R.L, C.H.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 2113",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.