Lordele Pato De Los Reyes, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8635 Issued in CA

Practice address

12072 Trask Ave
Garden Grove, CA 92843-3821

Phone

(714) 534-1942

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lordele Trasporte Pato Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1386843290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 ALBEE AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821439",
            "telephone_number": "646-546-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12072 TRASK AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433821",
            "telephone_number": "714-534-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS REYES",
        "first_name": "LORDELE",
        "middle_name": "PATO",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORDELE",
            "last_name": "PATO",
            "middle_name": "TRASPORTE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexa Rangel De la Riva
• Isaac Joel De la Rosa
• Nuria Esmeralda De Leon Juarez
• Breanne De Leon
• Marissa Ashley De Leon
• Melanie De Ocampo
• Joao Vitor De Oliveira
• Jonathan Abraham De Santiago
• Manuel Deanda
• George M Debbaneh, D.D.S,

• Occupational Therapist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.