Individual provider Active NPI

Kerry M Mariota, OTR, CHT

  • Hand Occupational Therapist
  • La Mesa, CA
National Provider Identifier
1336358936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT 2899 Issued in CA
Practice address
9000 Wakarusa St
La Mesa, CA 91942-3307
Phone
(619) 740-4600
Fax
(619) 589-7638
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT 2899 CA Primary

Addresses

Primary practice location

9000 Wakarusa St
La Mesa, CA 91942-3307

Mailing address

558 Trailridge Dr
Bonita, CA 91902-4066
Phone (619) 740-5225

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

LicenseStateTypeSpecialty
OT 2899CAMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336358936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 TRAILRIDGE DR",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919024066",
            "telephone_number": "619-740-5225",
            "fax_number": "619-589-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAKARUSA ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423307",
            "telephone_number": "619-740-4600",
            "fax_number": "619-589-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIOTA",
        "first_name": "KERRY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.