Rondelle J Bake, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Cypress, CA
NPI 1508092792 · NPPES record last updated Aug 7, 2012
Key facts
- NPI
- 1508092792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- OT10512 (CA)
- Practice address
- 11105 Knott Ave
Suite a
Cypress, CA 90630-5137 - Phone
- (714) 893-7399
- Fax
- (714) 893-7389
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT10512 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Pediatric Physical Therapy, Inc | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT10512 | CA | Yes |
Addresses
Primary practice location
11105 Knott Ave
Suite a
Cypress, CA 90630-5137
Mailing address
11105 Knott Ave
Suite a
Cypress, CA 90630-5137
Phone (714) 893-7399
Other providers in Cypress, CA
- Associated Physicians Medical Group, Inc.
- Samuel Au
- Savannah Faith Baclit
- Maxton Baeza
- Jonathan Baik
- Christian Beltrano Baldon
- Noel Leoncio Quiambao Balilo
- Lara Banat
- Micah Pastoriza Banawis
- Paul Jason Baron
All providers in Cypress, CA · Pediatric Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.