Olivia Rose Edmondson, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT15486 Issued in CA

Practice address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Phone

(855) 223-7123

NPI assigned

Dec 2, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tied Together Occupational Therapy, Professional Corporation

  • Pediatric Occupational Therapist
  • Mission Viejo, CA
  • NPI 1063347003

  Pediatrics

  NPD Authorized official
• Centra Pediatric Therapy

  • Pediatric Occupational Therapist
  • Tustin, CA
  • NPI 1902177025

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1265807259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BRAMBLE LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562929",
            "telephone_number": "619-994-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16782 VON KARMAN AVE STE 11",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926062417",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "OLIVIA",
        "middle_name": "ROSE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT15486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Edgerton, CN
• Kimberly Leilani Edick, R.N.
• Edinburgh Group Inc
• Lilangi Ediriwickrema, MD
• Jaycee Edmiston
• Elizabeth Edmunds
• Edouard E Rivera MD PC
• Eds Financial Services Inc
• Edward a. Balbas, P.C.
• Edward a. Balbas, PC

• Pediatric Occupational Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.