Mary Ann Watson, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

25622 Issued in CA

Practice address

4772 Katella Ave Ste 100
Los Alamitos, CA 90720-2681

Phone

(562) 430-8700

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.watson.p29@direct.newportmed.nextgenshare.com

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.

• Shattuck Rehabilitation Services

  • Hand Occupational Therapist
  • Los Alamitos, CA
  • NPI 1245361591
  NPD
• Hands on Hands Rehabilitation Center, Inc.

  • Occupational Therapist
  • Huntington Beach, CA
  • NPI 1245403906
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1356835722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6082 JADE CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472226",
            "telephone_number": "714-402-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 KATELLA AVE STE 100",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202681",
            "telephone_number": "562-430-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARY ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "4430",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "25622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ahn Wallace, D.D.S.
• Megan Kristen Walsch
• Daniel Patrick Walsh
• Brian Wang
• Steven Brian Wasserman, D.C.
• Connie Lee Wax, L.C.S.W.
• Diane Marie Wayne
• Elizabeth Weidlich, D.C.
• Stephen A Wertheimer, M.D.
• West Coast Dietitian

• Hand Occupational Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.