Pure Pediatric Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

7748 Issued in CA

Legal business name

PURE PEDIATRIC THERAPY

Practice address

24422 Avenida de la Carlota
Suite 100
Laguna Hills, CA 92653-3636

Phone

(949) 916-1654

NPI assigned

Sep 20, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Susie Rudzik

Title

Pediatric Occupational Therapist

Phone

(949) 916-1654

Specialties & licenses 1

Addresses

Tax ID family

Pure Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pure Pediatric Therapy

  • Pediatric Occupational Therapist
  • Laguna Hills, CA
  • NPI 1326276031
  NPD tax ID

Locations

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1588947204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533636",
            "telephone_number": "949-916-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533636",
            "telephone_number": "949-916-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "RUDZIK",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "PEDIATRIC OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "949-916-1654",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "7748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnie N Pugliese, LMFT
• Steve M Pumphrey, LCSW
• Reginaldo Punsalan
• Wendy Lynn Purcell, LMFT
• Pure Pediatric Therapy
• Pure Pediatric Therapy Inc
• Ellen Carol Purisch, LCSW MFT
• Tierney Puthuff
• Allison Grace Pyle
• Ronald Benjamin Quan, DDS

• Pediatric Occupational Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.