Individual provider Active NPI

Mia Laudato, OTR/L

  • Occupational Therapist
  • Corona, CA
National Provider Identifier
1396606893
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
28238 Issued in CA
Practice address
1561 E Ontario Ave Ste 101
Corona, CA 92881-6663
Phone
(951) 407-9233
Fax
(951) 407-9235
NPI assigned
Nov 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 28238 CA Primary

Addresses

Primary practice location

1561 E Ontario Ave Ste 101
Corona, CA 92881-6663

Mailing address

193 Tarocco
Irvine, CA 92618-0313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102003375 CA Practitioner - Occupational Therapist in Private Practice 0042706624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Peters Canyon Rd
Suite 100
Irvine, CA 92606-1798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks & Power Physical Therapy Corp. CurrentSince Dec 1, 2025 Accepting new patients

Locations

1561 E Ontario Ave
Ste 101
Corona, CA 92881
Phone (951) 407-2933

949 S State St
Hemet, CA 92543
Phone (951) 929-9890

2 Peters Canyon Rd
Ste 100
Irvine, CA 92606
Phone (949) 679-3988

9660 Haven Ave
Ste 130
Rancho Cucamonga, CA 91730
Phone (909) 269-5127

9900 Indiana Ave
Ste 8
Riverside, CA 92503
Phone (951) 376-1120

Organizations & group practices 1

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": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1396606893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 TAROCCO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 E ONTARIO AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816663",
            "telephone_number": "951-407-9233",
            "fax_number": "951-407-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDATO",
        "first_name": "MIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "28238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.