Active NPI
Christopher Myers, COTA
- Occupational Therapy Assistant
- Granada Hills, CA
National Provider Identifier
1396360780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2266
- Practice address
- 10605 Balboa Blvd Ste 300
Granada Hills, CA 91344-6347 - Phone
- (818) 832-7272
- NPI assigned
- Jun 10, 2020
- 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 Therapy Assistant | 224Z00000X | 2266 | CA | Primary |
Addresses
Primary practice location
10605 Balboa Blvd Ste 300
Granada Hills, CA 91344-6347
Mailing address
20651 Roscoe Blvd Unit C
Winnetka, CA 91306-1762
Phone (260) 710-5841
Other practice location 1
14401 Huston St
Sherman Oaks, CA 91423-1721
Phone (818) 986-7242
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2266 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1396360780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20651 ROSCOE BLVD UNIT C",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913061762",
"telephone_number": "260-710-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 BALBOA BLVD STE 300",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446347",
"telephone_number": "818-832-7272"
}
],
"practiceLocations": [
{
"address_1": "14401 Huston St",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914231721",
"country_code": "US",
"telephone_number": "818-986-7242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "CHRISTOPHER",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "2266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.