Individual provider Active NPI

Alexander Paul Mauter, OTR/L

  • Occupational Therapist
  • Huntington Beach, CA
National Provider Identifier
1336871599
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23652 Issued in CA
Practice address
7921 Professional Cir
Huntington Beach, CA 92648-1901
Phone
(715) 847-8751
NPI assigned
Jun 27, 2022
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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 23652 CA Primary

Addresses

Primary practice location

7921 Professional Cir
Huntington Beach, CA 92648-1901

Mailing address

205 15TH St Apt 2
Huntington Beach, CA 92648-4478
Phone (714) 504-2774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012000536 CA Practitioner - Occupational Therapist in Private Practice 5294101531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands on Rehab and AquaticsGroup PAC ID 2264561257, 5 clinicians
Hands on Rehab, Inc.Group PAC ID 1658334107, 5 clinicians

Practice addresses (Care Compare)

1601 Dove St
Suite 130
Newport Beach, CA 92660-1419
Phone (714) 847-8751

7921 Professional Cir
Huntington Beach, CA 92648-1901
Phone (714) 847-8751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Rehab & Aquatics CurrentSince Nov 17, 2022 Accepting new patients
Hands on Rehab, Inc. Occupational Therapist CurrentSince Sep 27, 2022 Accepting new patients

Locations

7921 Professional Cir
Huntington Beach, CA 92648
Phone (714) 847-8751

1601 Dove St
Ste 130
Newport Beach, CA 92660

1601 Dove St
Ste 242
Newport Beach, CA 92660
Phone (714) 847-8751

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1336871599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 15TH ST APT 2",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484478",
            "telephone_number": "714-504-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 PROFESSIONAL CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481901",
            "telephone_number": "715-847-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUTER",
        "first_name": "ALEXANDER",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.