Individual provider Active NPI

Aimee Chua, OTR/L

  • Occupational Therapist
  • Rancho Palos Verdes, CA
National Provider Identifier
1528535747
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
022643 Issued in NY
Practice address
4048 Stalwart Dr
Rancho Palos Verdes, CA 90275-6021
Phone
(310) 266-3033
NPI assigned
Oct 25, 2018
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 022643 NY Primary
Occupational Therapist 225X00000X 18993 CA

Addresses

Primary practice location

4048 Stalwart Dr
Rancho Palos Verdes, CA 90275-6021

Mailing address

4048 Stalwart Dr
Rancho Palos Verdes, CA 90275-6021

Other identifiers 1

IdentifierTypeStateIssuer
022643OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190129001597 NY Practitioner - Occupational Therapist in Private Practice 3476890435 Reassigns benefits to 1 organization
I20230606002030 CA Practitioner - Occupational Therapist in Private Practice 3476890435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

6070 Avenida Encinas
Suite 100
Carlsbad, CA 92011-1001
Phone (760) 444-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18993CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Proactive Physical Therapy & Sports Medicine Inc CurrentSince May 1, 2023 Accepting new patients
DPT Holdings, LLC CurrentSince Sep 1, 2025 Accepting new patients
Empower Physical Therapy TX LLC PastSince Oct 19, 2019 Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

2345 E 8th St
Ste 106
National City, CA 91950
Phone (619) 323-2040

12264 El Camino Real
Ste 102
San Diego, CA 92130
Phone (858) 509-9600

17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084

3665 Ruffin Rd
Ste 304
San Diego, CA 92123
Phone (619) 930-9750

380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086

111 E 210th St
Bronx, NY 10467

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1528535747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 STALWART DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 STALWART DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756021",
            "telephone_number": "310-266-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "AIMEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022643",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "18993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "022643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.