Individual provider Active NPI

Jennifer Andrea Bermudez, OTR

  • Occupational Therapist
  • Torrance, CA
National Provider Identifier
1285265199
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812
Phone
(310) 371-8555
Fax
(310) 371-4488
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812

Mailing address

3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812
Phone (310) 371-8555

Other practice location 1

11605 Washington Pl
Los Angeles, CA 90066-5013
Phone (310) 337-7115

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Motion Pediatric Therapy CurrentSince Apr 16, 2023 Accepting new patients
Kids in Motion Physical Therapy, Inc CurrentSince Apr 16, 2023 Accepting new patients
Therapy West, Inc Occupational Therapist PastSince Feb 1, 2020 Accepting new patients

Locations

3460 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 371-8555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1285265199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 TORRANCE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035812",
            "telephone_number": "310-371-8555",
            "fax_number": "310-371-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 TORRANCE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035812",
            "telephone_number": "310-371-8555",
            "fax_number": "310-371-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11605 Washington Pl",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900665013",
            "country_code": "US",
            "telephone_number": "310-337-7115",
            "fax_number": "310-216-6153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "JENNIFER",
        "middle_name": "ANDREA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.