Active NPI
Chelle Morad, MS, OTR/L
- Pediatric Occupational Therapist
- Gardena, CA
National Provider Identifier
1285162826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT17393
- Practice address
- 1411 W 190TH St
Gardena, CA 90248-4324 - Phone
- (657) 549-8020
- NPI assigned
- May 26, 2017
- 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 | OT17393 | CA | Primary |
Addresses
Primary practice location
1411 W 190TH St
Gardena, CA 90248-4324
Mailing address
6076 Bristol Pkwy Ste 105
Culver City, CA 90230-6600
Phone (310) 642-7700
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT17393 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1285162826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6076 BRISTOL PKWY STE 105",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306600",
"telephone_number": "310-642-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 W 190TH ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484324",
"telephone_number": "657-549-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAD",
"first_name": "CHELLE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT17393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.