Individual provider Active NPI

Amanda Han, OTR/L

  • Occupational Therapist
  • San Bernardino, CA
National Provider Identifier
1336911700
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24969 Issued in CA
Practice address
275 W Hospitality LN Ste 100
San Bernardino, CA 92408-3238
Phone
(909) 567-2221
NPI assigned
Oct 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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 24969 CA Primary

Addresses

Primary practice location

275 W Hospitality LN Ste 100
San Bernardino, CA 92408-3238

Mailing address

11876 Hollis CT
Loma Linda, CA 92354-6754
Phone (949) 599-5707

Other practice location 1

301 E Vanderbilt Way Ste 100
San Bernardino, CA 92408-3556
Phone (909) 567-2661

Other practice location 2

4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358
Phone (909) 971-3092

Other names 1

  • Amanda Ma Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240128000158 CA Practitioner - Occupational Therapist in Private Practice 6204289051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24969CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Transit Physical Therapy PC Occupational Therapist CurrentSince Jan 16, 2024 Accepting new patients
Rapha Rehabilities PastSince Oct 29, 2023 Accepting new patients
Ali H. Mesiwala, M.D., a Medical Corporation PastSince Oct 1, 2023 Accepting new patients
Rapha Physical Therapy, Inc PastSince Oct 29, 2023 Accepting new patients

Locations

225 W Hospitality Ln
Ste 301
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 100
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 103
Sn Bernrdno, CA 92408
Phone (909) 567-2221

20657 Golden Springs Dr
Ste 113
Walnut, CA 91789
Phone (909) 655-6060

100 N Barranca St
Ste 920
West Covina, CA 91791
Phone (626) 263-6469

Organizations & group practices 4

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": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1336911700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11876 HOLLIS CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546754",
            "telephone_number": "949-599-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-567-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Vanderbilt Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083556",
            "country_code": "US",
            "telephone_number": "909-567-2661",
            "fax_number": "909-567-2685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4959 Palo Verde St Ste 109C",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632358",
            "country_code": "US",
            "telephone_number": "909-971-3092",
            "fax_number": "909-971-3261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.