Active NPI
Pacific Kids Occupational Therapy, PC
- Pediatric Occupational Therapist
- Dana Point, CA
National Provider Identifier
1487543104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- PACIFIC KIDS OCCUPATIONAL THERAPY, PC
- Practice address
- 33912 Violet Lantern St Apt B
Dana Point, CA 92629-5366 - Phone
- (608) 279-1491
- NPI assigned
- Jun 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alisa Taylor, OTR/L
- Title
- Owner
- Phone
- (608) 279-1491
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
33912 Violet Lantern St Apt B
Dana Point, CA 92629-5366
Mailing address
PO Box 276
Dana Point, CA 92629-0276
Phone (608) 279-1491
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Denver, CO
- NPI 1841830874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751241600000",
"number": "1487543104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926290276",
"telephone_number": "608-279-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33912 VIOLET LANTERN ST APT B",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926295366",
"telephone_number": "608-279-1491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC KIDS OCCUPATIONAL THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-29",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "ALISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-279-1491",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dana Point, CA
- Oksana Bublik DDS,a Dental Corporation
- Kimberly Thien Ong
- Organizational Mind Group, a Psychological Corporation
- Pacific Acupuncture Center
- Pacific Crest Medical Group Inc
- Pack Physical Therapy
- Pain Recovery Medical Group, Inc
- Ana Sylvia Palda, M.S., M.A.
- Parakleos Marriage and Family Therapy Professional Corporation
- Parenting Expectations LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.