Active NPI
David Ralph Terstegen, COTA
- Occupational Therapy Assistant
- Paradise, CA
National Provider Identifier
1275835910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1992
- Practice address
- 1633 Cypress Lane
Paradise, CA 95969 - Phone
- (530) 877-5133
- Fax
- (530) 877-6304
- NPI assigned
- Dec 1, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1992 | CA | Primary |
Addresses
Primary practice location
1633 Cypress Lane
Paradise, CA 95969
Mailing address
4560 SE International Way
Ste. 100
Milwaukie, OR 97222
Phone (971) 206-5200
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 |
|---|---|---|---|
| 1992 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1275835910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"address_2": "STE. 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "971-206-5200",
"fax_number": "971-206-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 CYPRESS LANE",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-877-5133",
"fax_number": "530-877-6304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERSTEGEN",
"first_name": "DAVID",
"middle_name": "RALPH",
"name_prefix": "Mr.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "1992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paradise, CA
- Sunshine Village of Paradise, a California Corporation (Sunshine Assisted Living - The Cottage)
- Jadie Joan Swietanski, FNP-BC
- Valerie Leigh Sykes, SLP
- Mikhai Cong Ta, DDS
- Robert Matthews Tatum, LCSW
- The Best Place for Moms LLC
- Thomas Stewart MD Inc
- Brandy Nicole Thomas
- Kathryn Lynette Thomas
- Tanya Raycene Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.