Individual provider Active NPI

Valery Alayn Evon Thamm

  • Occupational Therapy Assistant
  • San Diego, CA
National Provider Identifier
1497964860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA1367 Issued in CA
Practice address
303 Market St
736
San Diego, CA 92101-6999
Phone
(612) 481-0063
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA1367 CA Primary
Occupational Therapy Assistant 224Z00000X OTA10201 FL
Occupational Therapy Assistant 224Z00000X 201378 MN

Addresses

Primary practice location

303 Market St
736
San Diego, CA 92101-6999

Mailing address

303 Market St
736
San Diego, CA 92101-6999
Phone (612) 481-0063

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

State licenses

LicenseStateTypeSpecialty
OTA1367CAMDOccupational Therapy Assistant
OTA10201FLMDOccupational Therapy Assistant
201378MNMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497964860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MARKET ST",
            "address_2": "736",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016999",
            "telephone_number": "612-481-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MARKET ST",
            "address_2": "736",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016999",
            "telephone_number": "612-481-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMM",
        "first_name": "VALERY",
        "middle_name": "ALAYN EVON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA1367",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA10201",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "201378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.