NPIMap

Organization Active NPI

San Diego Occupational Therapi Inc

  • Pediatric Occupational Therapist
  • San Diego, CA
National Provider Identifier
1558624759
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1076 Issued in CA
Legal business name
SAN DIEGO OCCUPATIONAL THERAPI INC
Practice address
12625 High Bluff Dr Ste 113
San Diego, CA 92130-2053
Phone
(760) 814-5096
Fax
(760) 544-5120
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Stephanie Drummond, OTD, OTR/L
Title
Ceo San Diego Occupational Therapy
Phone
(760) 814-5096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 1076 CA Primary

Addresses

Primary practice location

12625 High Bluff Dr Ste 113
San Diego, CA 92130-2053

Mailing address

12625 High Bluff Dr Ste 113
San Diego, CA 92130-2053
Phone (760) 814-5096

National Provider Directory

National Provider Directory
Tax ID family
San Diego Occupational Therapi Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12625 High Bluff Dr
Ste 113
San Diego, CA 92130
Phone (760) 814-5096

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1558624759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 113",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "760-814-5096",
            "fax_number": "760-544-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 113",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "760-814-5096",
            "fax_number": "760-544-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO OCCUPATIONAL THERAPI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO SAN DIEGO OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "760-814-5096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "1076",
            "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 Jun 21, 2012; 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.