Active NPI
John C Avery, OTD, OTR/L, CHT
- Hand Occupational Therapist
- Chula Vista, CA
National Provider Identifier
1669134201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT-1729
- Practice address
- 752 Medical Center CT Ste 303
Chula Vista, CA 91911-6661 - Phone
- (619) 591-7900
- NPI assigned
- Oct 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT-1729 | CA | |
| Occupational Therapist | 225X00000X | OT-1729 | CA | |
| Environmental Modification Occupational Therapist | 225XE0001X | OT-1729 | CA | |
| Ergonomics Occupational Therapist | 225XE1200X | OT-1729 | CA | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | OT-1729 | CA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT-1729 | CA | |
| Hand Occupational Therapist | 225XH1200X | OT-1729 | CA | Primary |
Addresses
Primary practice location
752 Medical Center CT Ste 303
Chula Vista, CA 91911-6661
Mailing address
8071 Canton Dr
Lemon Grove, CA 91945-4416
Phone (619) 461-4939
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.avery@sharp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1729 | CA | MD | Ergonomics Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Chula Vista Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Chula Vista, CA
- NPI 1538142369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1669134201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8071 CANTON DR",
"city": "LEMON GROVE",
"state": "CA",
"postal_code": "919454416",
"telephone_number": "619-461-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 MEDICAL CENTER CT STE 303",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116661",
"telephone_number": "619-591-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CA",
"license": "OT-1729",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT-1729",
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "CA",
"license": "OT-1729",
"primary": false
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "CA",
"license": "OT-1729",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "CA",
"license": "OT-1729",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "OT-1729",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT-1729",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.avery@sharp.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "752 Medical Center Ct Ste 303",
"city": "Chula Vista",
"state": "CA",
"country_code": "US",
"postal_code": "919116661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.