Active NPI
Nina Lee
- Occupational Therapist
- Arcadia, CA
National Provider Identifier
1336852896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 464538
- Practice address
- 301 E Foothill Blvd # 300
Arcadia, CA 91006-2549 - Phone
- (833) 319-3969
- NPI assigned
- Dec 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | 464538 | CA | Primary |
Addresses
Primary practice location
301 E Foothill Blvd # 300
Arcadia, CA 91006-2549
Mailing address
552 W Elk Ave Unit 210
Glendale, CA 91204-1406
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 |
|---|---|---|---|
| 464538 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debbie Tilton Otrl Inc | Occupational Therapist | Past | Accepting new patients |
| Tiltons Therapy Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
- Occupational Therapist
- Las Vegas, NV
- NPI 1235799941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1336852896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 W ELK AVE UNIT 210",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E FOOTHILL BLVD # 300",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910062549",
"telephone_number": "833-319-3969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "NINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-29",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "464538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.