NPIMap

Organization Active NPI

Within Reach Rehabilitation

  • Physical Rehabilitation Occupational Therapist
  • Lake Forest, CA
National Provider Identifier
1376989541
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OT4456 Issued in CA
Legal business name
WITHIN REACH REHABILITATION
Practice address
501 Bellecour Way
Lake Forest, CA 92630-7931
Phone
(714) 272-6035
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Christine M Guevara, MOTR/LNPI 1912052093
Title
Owner/Occupational Therapist
Phone
(714) 272-6035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X OT4456 CA Primary

Addresses

Primary practice location

501 Bellecour Way
Lake Forest, CA 92630-7931

Mailing address

501 Bellecour Way
Lake Forest, CA 92630-7931
Phone (714) 272-6035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1376989541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BELLECOUR WAY",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307931",
            "telephone_number": "714-272-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BELLECOUR WAY",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307931",
            "telephone_number": "714-272-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHIN REACH REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "714-272-6035",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "OT4456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.