Active NPI
Quenna G Lee, OTR/L
- Pediatric Occupational Therapist
- San Francisco, CA
National Provider Identifier
1275015638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT19102
- Practice address
- 1948 California Street
San Francisco, CA 94109 - Phone
- (703) 801-5672
- NPI assigned
- Sep 2, 2018
- Last updated
- Sep 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT19102 | CA | Primary |
Addresses
Primary practice location
1948 California Street
San Francisco, CA 94109
Mailing address
63 Sylvan Drive
San Francisco, CA 94132
Phone (415) 664-5247
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT19102 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535846400000",
"number": "1275015638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 SYLVAN DRIVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94132",
"telephone_number": "415-664-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 CALIFORNIA STREET",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94109",
"telephone_number": "703-801-5672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "QUENNA",
"middle_name": "G",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-02",
"last_updated": "2018-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT19102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.