Organization Active NPI

Little Trailblazers OT

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1548190952
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LITTLE TRAILBLAZERS OT
Practice address
3078 Broadway Unit 203
San Diego, CA 92102-2348
Phone
(763) 226-1407
NPI assigned
May 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Alexandra Mouannes, OTR/LNPI 1699617647
Title
Occupational Therapist
Phone
(763) 226-1407

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3078 Broadway Unit 203
San Diego, CA 92102-2348

Mailing address

3078 Broadway Unit 203
San Diego, CA 92102-2348
Phone (763) 226-1407

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1548190952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3078 BROADWAY UNIT 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022348",
            "telephone_number": "763-226-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 BROADWAY UNIT 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022348",
            "telephone_number": "763-226-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TRAILBLAZERS OT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "MOUANNES",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "763-226-1407",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 20, 2026; 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.