Active NPI
Theodore W Fehr, O.T.
- Occupational Therapist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 6216
- Practice address
- 2700 N Main St Ste 340
Santa Ana, CA 92705-6638 - Phone
- (714) 953-7330
- Fax
- (949) 727-2193
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- 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 Therapist | 225X00000X | OT 6216 | CA | Primary |
Addresses
Primary practice location
2700 N Main St Ste 340
Santa Ana, CA 92705-6638
Mailing address
5905 Severin Dr
La Mesa, CA 91942-3806
Phone (619) 589-2606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH719Z | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18522 US Hwy 18
Suite 105
Apple Valley, CA 92307-2321
Phone (714) 244-7604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 6216 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eggleton & Langton Physical Therapy Management Services | Current | Accepting new patients | |
| Advanced Hand Therapy, Inc | Current | Accepting new patients | |
| Eggleton & Langton Physical Therapy Management Services | Past | Accepting new patients | |
| Eggleton & Langton Physical Therapy Management Services | Past | Accepting new patients | |
| Eggleton Langton Physical Therapy Management Services | Past | Accepting new patients |
Locations
18522 US Highway 18
Ste 105
Apple Valley, CA 92307
Phone (714) 244-7604
317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144
5905 Severin Dr
La Mesa, CA 91942
Phone (619) 589-2606
Organizations & group practices 6
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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- NPI 1770520496
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- Physical Therapist
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- NPI 1588610315
-
- Physical Therapist
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-
- Physical Therapist
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- NPI 1225084056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1376635326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5905 SEVERIN DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423806",
"telephone_number": "619-589-2606",
"fax_number": "619-464-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N MAIN ST STE 340",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056638",
"telephone_number": "714-953-7330",
"fax_number": "949-727-2193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEHR",
"first_name": "THEODORE",
"middle_name": "W",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 6216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CH719Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.