Mollie Chainani Bivens, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 8048 Issued in CA

Practice address

805 Aerovista PL Ste 101
San Luis Obispo, CA 93401-7921

Phone

(805) 996-0899

Fax

(805) 250-3089

NPI assigned

Apr 14, 2014

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coast Allied Health

  • Pediatric Occupational Therapist
  • San Luis Obispo, CA
  • NPI 1568882678

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1467871897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017921",
            "telephone_number": "805-996-0899",
            "fax_number": "805-250-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017921",
            "telephone_number": "805-996-0899",
            "fax_number": "805-250-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVENS",
        "first_name": "MOLLIE",
        "middle_name": "CHAINANI",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 8048",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "8048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahna Nicole Bishop, LCSW
• Mark Douglas Bishop
• Megan M Bishop, B.S., NUTRITIONIST
• Shante L Bishop
• Blanca Bisuna, MD
• Michaela Bixler, R.D.H.
• Emily Blair
• Hayley Blakemore
• Trina Blanchette
• Eric Blanco

• Pediatric Occupational Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.