Rena Faitler, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

20405 Issued in CA

Practice address

1428 S Shenandoah St
Los Angeles, CA 90035-3588

Phone

(323) 422-1459

NPI assigned

May 18, 2023

Last updated

May 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1598456709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 S SHENANDOAH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353588",
            "telephone_number": "323-422-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S SHENANDOAH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353588",
            "telephone_number": "323-422-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAITLER",
        "first_name": "RENA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "20405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 May 18, 2023; 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.