Individual provider Active NPI

Erin Kessler, COTA

  • Occupational Therapy Assistant
  • San Clemente, CA
National Provider Identifier
1376944116
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA6050 Issued in CA
Practice address
1031 Avenida Pico Ste 201
San Clemente, CA 92673-6356
Phone
(949) 388-8788
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA6050 CA Primary

Addresses

Primary practice location

1031 Avenida Pico Ste 201
San Clemente, CA 92673-6356

Mailing address

2730 E 4TH St
Long Beach, CA 90814-1227

Other practice location 1

2602 Nelson Ave
Redondo Beach, CA 90278-2613
Phone (310) 658-3171

Other names 1

  • Erin Womersley Former name

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

LicenseStateTypeSpecialty
OTA6050CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Day Therapy Center Inc Occupational Therapy Assistant Past Accepting new patients
Wee Thrive Pediatric Therapy Group PastSince Aug 28, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1376944116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 AVENIDA PICO STE 201",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736356",
            "telephone_number": "949-388-8788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Nelson Ave",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902782613",
            "country_code": "US",
            "telephone_number": "310-658-3171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "ERIN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA6050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "WOMERSLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.