Active NPI
Amy Irwin, MA OTR/L
- Occupational Therapist
- Torrance, CA
National Provider Identifier
1487097234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9622
- Practice address
- 1815 W 213TH St Ste 100
Torrance, CA 90501-2852 - Phone
- (310) 328-0693
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- 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 Therapist | 225X00000X | 9622 | CA | Primary |
Addresses
Primary practice location
1815 W 213TH St Ste 100
Torrance, CA 90501-2852
Mailing address
510 24TH PL
Hermosa Beach, CA 90254-2607
Phone (310) 376-3729
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9622 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1487097234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 24TH PL",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542607",
"telephone_number": "310-376-3729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 W 213TH ST STE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905012852",
"telephone_number": "310-328-0693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "AMY",
"credential": "MA OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.