Theresa Mary Gabrielle Chern, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

41502 Issued in CA

Practice address

1433 6TH St
Apt F
Santa Monica, CA 90401-2554

Phone

(310) 488-1232

NPI assigned

Aug 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Theresa Mary Ann Roy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1588911754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 6TH ST",
            "address_2": "APT F",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012554",
            "telephone_number": "310-488-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 6TH ST",
            "address_2": "APT F",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012554",
            "telephone_number": "310-488-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERN",
        "first_name": "THERESA",
        "middle_name": "MARY GABRIELLE",
        "name_prefix": "Ms.",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "41502",
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "CA",
            "license": "41502",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "41502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "ROY",
            "middle_name": "MARY ANN",
            "credential": "CTRS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yilin Chen
• Martin Louis Chenevert, M.D.
• Carol Erin Cheng, M.D.
• William Joseph Cheng, D.D.S.
• Daniel Cherkassky, MD
• Lauren Cherrington
• Michael E. Chesebro, M.S./CCC-SLP
• Aubree Chesnut, PA-C
• Phallaraingsey Chhay, MD
• Forster Chhean, MD

• Recreation Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Recreation Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.