Kiana Phillips, MA, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21788 Issued in CA

Practice address

18050 Vanowen St
Reseda, CA 91335-5638

Phone

(818) 888-4559

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Child Development Institute

  • Clinical Child & Adolescent Psychologist
  • Reseda, CA
  • NPI 1770616310
  NPD

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1396348785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18050 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18050 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355638",
            "telephone_number": "818-888-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KIANA",
        "credential": "MA, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Raymond Persichetti, P.T.
• David Pezhmannia, PHARM D
• Jonathan Pham, DMD
• Mai Tuyet Phan, M.D.
• Philip Korsun D O Inc
• Honey Harriet Pietruszka, PSY.D.
• Marvin Pietruszka, M.D.
• Pinnacle Care Hospice, Inc.
• Mike Pirbazari, D.D.S.,M.S.,PH.D.
• Adrineh Pkhrikyan, PA-C

• Occupational Therapist in Reseda, CA
• Providers in Reseda, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.