Individual provider Active NPI

Tanya Nilcia Kinton, M.S., OT

  • Occupational Therapist
  • San Clemente, CA
National Provider Identifier
1487928594
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 17338 Issued in CA
Practice address
970 Calle Amanecer
Suite a
San Clemente, CA 92673-6250
Phone
(949) 498-5100
NPI assigned
Mar 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3605 CA
Occupational Therapist 225X00000X OT 17338 CA Primary

Addresses

Primary practice location

970 Calle Amanecer
Suite a
San Clemente, CA 92673-6250

Mailing address

970 Calle Amanecer
Suite a
San Clemente, CA 92673-6250
Phone (949) 498-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328000534 CA Practitioner - Occupational Therapist in Private Practice 9234652421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3605CAMDMental Health Counselor
17338CAMDAcupuncturist
OT 17338CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Watson Sports Performance & Rehabilitation Inc Occupational Therapist CurrentSince Mar 18, 2025 Accepting new patients
Beach Kids Therapy Center, Inc. Past Accepting new patients

Locations

1000 Calle Amanecer
San Clemente, CA 92673
Phone (949) 481-9113

Organizations & group practices 2

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": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1487928594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 CALLE AMANECER",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736250",
            "telephone_number": "949-498-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 CALLE AMANECER",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736250",
            "telephone_number": "949-498-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTON",
        "first_name": "TANYA",
        "middle_name": "NILCIA",
        "credential": "M.S., OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3605",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 17338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.