Active NPI
Marie Rebecca Hofmann, COTA/L
- Occupational Therapy Assistant
- Palm Desert, CA
National Provider Identifier
1376200485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5537
- Practice address
- 75100 Mediterranean
Palm Desert, CA 92211-9069 - Phone
- (857) 325-4496
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5537 | CA | Primary |
Addresses
Primary practice location
75100 Mediterranean
Palm Desert, CA 92211-9069
Mailing address
1557 E San Jacinto Way
Palm Springs, CA 92262-5807
Phone (857) 325-4496
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 |
|---|---|---|---|
| 5537 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easy Speech Pathology, Inc. | Current | Accepting new patients |
Locations
75100 Mediterranean
Palm Desert, CA 92211
Phone (760) 340-9832
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Palm Desert, CA
- NPI 1124434261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1376200485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1557 E SAN JACINTO WAY",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625807",
"telephone_number": "857-325-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75100 MEDITERRANEAN",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922119069",
"telephone_number": "857-325-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMANN",
"first_name": "MARIE",
"middle_name": "REBECCA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "5537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.