Grace Wan, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5957 Issued in CA

Practice address

140 S Chaparral CT Ste 160
Anaheim, CA 92808-2283

Phone

(714) 794-5889

NPI assigned

Jun 27, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1457083792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 N SCHOONER LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011778",
            "telephone_number": "480-278-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S CHAPARRAL CT STE 160",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082283",
            "telephone_number": "714-794-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "GRACE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapy@ahpediatric-pt-ot.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "ANAHEIM HILLS PEDIATRIC THERAPY INC.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 S Chaparral Ct Ste 160",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928082283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Apryl Dawn Walters
• Jadah Marie Walters
• Marla Walters, PPS
• Tiffany Ashley Walton, CATC 1
• Shelene Waltower-Belgrave
• Alicia Wang
• Angela Wang, D.P.M.
• Dave Wang, DDS
• Helen Wang
• Jeffrey S Wang, MD

• Occupational Therapy Assistant in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.